Fairwinds - Brighton Court

Facility failed to maintain a written plan (FAMT) for 2 sampled residents receiving medication assistance from family members.

The facility failed to obtain medications in a timely manner for Resident 4, resulting in missing dosages of citalopram (8 days) and omeprazole (2 days).

The facility failed to follow criteria for nurse delegation; unlicensed staff administered eye drops, nasal spray, and topical ointment to Resident 4 without proper training or delegation.

Facility failed to ensure 1 staff member completed the required TB screening test within three days of hire.

Facility failed to ensure 2 staff members met training requirements (Mental Health specialty training and continuing education hours).

The facility failed to document necessary services in the NSA for 2 of 2 sampled residents (Resident 4 and 8), including an alternate plan for hospice aide absence and safety monitoring for blood thinner side effects.

Facility failed to use an appropriate tool (SLUMS) to annually assess special needs related to dementia for 1 resident.

Facility failed to obtain medications in a timely manner for 1 resident, resulting in missed doses of omeprazole and citalopram.

No documentation provided for hydrostatic testing of Fire Department Connection.

Multiple fire doors failed to close and latch automatically, often hanging on carpet or having malfunctioning coordinators.

Missing or improper signage on exhaust hood/system cabinet regarding protected cooking appliances.

Facility unable to provide documentation for monthly single station smoke alarm testing.

Sprinkler heads in kitchen cooler and freezer exceed the 5-year replacement requirement for harsh environments.

Exit light in hallway near room 299 is not functional/staying on.