Eden Spring Living Center

The facility failed to ensure necessary referral and follow-up for a resident's health care needs. Specifically, a resident with a physician's order for a nutritional supplement was not receiving the supplement because it was not covered by insurance and the resident refused to pay out of pocket. Furthermore, the facility failed to notify the resident's primary care provider regarding this refusal.

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The facility failed to ensure referral and follow-up to meet the health care needs of a resident who had a physician's order for a nutritional supplement. Although an order existed, no supplements were available because the resident refused to pay out-of-pocket, and the primary care provider was not notified of this refusal.

The facility failed to ensure that a licensed health professional performed an assessment and evaluation of a resident's health status. Specifically, for a resident using oxygen, there was no documentation of a required LHPS evaluation available in the resident's record.

The facility failed to ensure that outside exit doors accessible to disoriented residents were equipped with an audible sounding device. Specifically, the main entrance and a hallway door were found unlocked and without alarms, allowing residents to exit to smoking areas without staff being alerted by a device.

The facility failed to ensure that outside doors accessible to disoriented or wandering residents were equipped with an audible sounding device. Specifically, the main entrance and a hallway door were found unlocked and without alarms, allowing residents to exit to outdoor areas without staff being alerted.

The Administrator and/or Assistant Administrator will implement a process to check employee records monthly to ensure all required training and documentation are present in the records.

The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease upon admission. Specifically, for Resident #2, there was no documentation of a TB skin test performed at the time of admission, and recent testing results lacked necessary details such as the millimeter measurement of induration and chest x-ray results.

The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease upon admission in compliance with required control measures. Specifically, documentation of TB skin testing was missing for Resident #2 upon admission, and for Resident #3, there was no documentation of a TB signs and symptoms questionnaire or recent follow-up for a known positive test.