Devoted Assisted Living

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit at three resident fixtures, including two bathroom sinks and one shower. Temperatures were observed as high as 124 degrees Fahrenheit. Additionally, the Administrator failed to maintain a log of monthly water temperature checks.

The facility failed to ensure medications were administered according to physician orders. Specifically, for one of three sampled residents, the facility failed to follow the prescribed order for an antibiotic.

The facility failed to ensure physician notification and follow-up for a resident's medical orders. Specifically, the facility did not complete orders to obtain podiatry and eye doctor consultations for a resident with diabetes.

The facility failed to ensure physician notification and follow-up for required medical consults for a resident. Specifically, the facility did not complete orders for podiatry and eye doctor consultations for a diabetic resident and failed to notify the primary care provider that these referrals were not being met.

The facility failed to protect the rights of 6 residents from exploitation by using their United Healthcare Dual Complete Plan benefits to purchase food for the entire facility. The Administrator enrolled residents without their or their guardians' permission and used the residents' monthly benefits to pay for facility-wide food supplies without maintaining receipts or separating designated food.

The facility failed to ensure the rights of 6 out of 13 residents were protected from exploitation. The Administrator enrolled residents in the United Healthcare Dual Complete Plan without obtaining necessary permission from residents or their guardians and used the residents' monthly benefits to purchase food for the entire facility.

The facility failed to develop an activities program designed to promote active involvement for 12 residents. The posted activity calendar lacked specific beginning and end times for most scheduled events, and observations showed no activities were offered to residents during the survey period. Interviews with residents further indicated that scheduled activities, such as bible study, had not been held for several weeks.

The facility failed to ensure that three sampled staff members (an Administrator, a PCA, and a Supervisor) were competency validated by return demonstration for Licensed Health Professional Support (LHPS) tasks. Specifically, there was no documentation that staff were validated for tasks including insulin injections, fingerstick blood sugar checks, and assistance with ambulation and transferring.