Eno Pointe Assisted Living

The facility failed to ensure that cleaning agents and hazardous substances were kept in a separate locked area and were not accessible to residents. Specifically, a bottle of AF79 concentrate, which is classified as hazardous and capable of causing severe skin burns and eye damage, was observed hanging in a bathroom/shower room.

The facility failed to ensure that cleaning agents and hazardous substances were kept in a separate locked area and were inaccessible to residents. Specifically, multiple bottles of a hazardous disinfectant (AF79 concentrate) were found left in accessible bathroom/shower rooms in the New, South, and North halls. This practice posed a risk of ingestion or chemical burns to residents.

The facility failed to ensure physician treatment orders were implemented for a resident, specifically regarding the use of TED hose for edema. Records and observations showed that while orders for TED hose were present, there was no documentation of the hose being applied or removed, and the resident was observed without the required compression garments despite significant leg swelling.

The facility failed to ensure physician treatment orders were implemented and documented for a resident. Specifically, there was no documentation in the resident's record to confirm that prescribed TED hose were applied or removed as ordered for the treatment of edema during December 2023 and January 2024.

The facility failed to implement physician orders for one resident with diabetes. Specifically, staff did not document the required blood sugar re-checks within one hour after providing orange juice for low blood sugar readings.

The facility failed to implement physician orders for a resident with diabetes. Specifically, the facility did not document the required one-hour blood sugar rechecks following low blood sugar readings (below 60) on multiple dates in August and September 2023.

The facility failed to ensure that therapeutic diets, including thickened liquids, were served as ordered by the resident's physician. Specifically, a resident with an order for nectar thickened liquids was observed being served regular thin water during medication administration because the medication aide provided the resident's preference instead of the physician's order.

The facility failed to ensure that therapeutic diets, including thickened liquids, were served as ordered by the resident's physician. Specifically, a resident with an order for nectar thickened liquids was provided regular thin water during medication administration. The medication cart lacked thickener or pre-thickened beverages to ensure compliance with the physician's orders.