Faith Assisted Living Facility

The facility failed to report a confirmed influenza outbreak to the local health department as required. An outbreak began on 12/31/24 involving multiple residents, including two who required hospitalization. The facility's failure to notify the health department within the required 24-hour window was evidenced by the presence of outbreak signage and resident isolation protocols without documented reporting.

The facility failed to report a confirmed influenza outbreak to the local health department within the required 24-hour timeframe. The outbreak, which began on 12/31/24 and involved two hospitalizations, was not reported as required by state regulations.

The facility failed to protect food from contamination and maintain proper food safety standards. Specific issues included ground beef submerged in water in a prep sink, lack of opening dates on prepared foods, and food items stored without years on handwritten dates. Additionally, some containers lacked visible use-by dates and contained unidentified orange substances.

The facility failed to ensure the Activity Director met all required qualifications. Specifically, the personnel record for Staff A lacked documentation of a high school diploma or GED, and the individual was performing activity duties without proper training or a job description.

The facility failed to ensure that all staff were tested for tuberculosis disease upon employment. A review of Staff A's personnel file revealed that the required tuberculosis testing had not been completed in compliance with established control measures.

The facility failed to ensure the Activity Director met all required qualifications, specifically lacking documentation of a high school diploma, GED, or alternative examination. Additionally, the employee's personnel record lacked a proper job description for the role.

The facility failed to properly supervise Resident #2 and Resident #7, which resulted in serious physical harm. Specifically, a resident suffered a compound fracture of the first lumbar vertebra following a fall.

The facility failed to assure necessary referral and follow-up to meet the routine and acute health care needs of residents. This was evidenced by a resident being without prescribed pain medication for 24 hours and a resident requiring a transfer to a higher level of care due to needs exceeding the facility's capabilities.

The facility failed to ensure the proper provision of medication and instructions for residents on temporary leave. The facility must provide sufficient medication and clear instructions regarding dosage and administration for residents participating in activities outside the facility.

The facility failed to maintain adequate pharmaceutical services and procedures regarding the release of medications for residents on temporary leave of absence.

The facility failed to maintain the home in a clean manner free from hazards. Specifically, a pile of cigarette butts, ashes, dirt, and paper trash was left swept into a corner of the smoking porch for three days. Additionally, an ashtray/trash receptacle on the screened porch was overflowing with flammable trash and cigarette butts.

The facility failed to maintain clean and well-repaired surfaces, specifically regarding floors, walls, and ceilings. Observations revealed dirty shower chairs, grout staining, cobwebs, and dust accumulation on ceiling fans and mechanical lifts. Additionally, repairs were needed for walls in resident rooms and a broken window.