Esther Adult Care Home

Based on record review and interview, the manager failed to ensure employees who were expected to have more than eight hours per week of direct interaction with residents, provided evidence of freedom from infectious tuberculosis as specified in R9-10-113, on or before the date the individual began providing services at the assisted living facility, for two out of two personnel sampled. Findings Include: 1. A review of E2 and E3's personnel records revealed there were no TB baseline screenings available for review. 2. In an exit interview, the findings were reviewed with E1. E1 acknowledged E2 and E3 had not provided evidence of freedom from infectious TB as specified in R9-10-113 and did not have screenings available for review. E1 stated E1 was confused regarding when a TB screening was necessary.

Based on record review and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis (TB) within seven calendar days after the resident’s date of occupancy, and as specified in R9-10-113, for one of two residents sampled. Findings include: 1. A review of R1’s medical record revealed evidence of documentation of two negative chest x-rays within seven calendar days after the resident’s date of occupancy and did not include evidence of documentation of a baseline screening and risk assessment conducted by an occupational health reviewer. 2. In an exit interview, the findings were reviewed with E1. E1 acknowledged R1 had not provided evidence of freedom from infectious TB as specified in R9-10-113, within seven calendar days of R1's date of occupancy.

Based on record review and interview, for one of two residents sampled, the manager failed to ensure a resident's written service plan was reviewed and updated at least once every three months. Findings include: 1. A review of R2's medical record revealed a service plan, dated September 27, 2025, for directed care services. However, service plan updates dated on or before December 27, 2025, were not available for review. 2. In an exit interview, the findings were reviewed with E1. E1 acknowledged that R2's record did not include a written service plan update dated at least once every three months.