Falls River Court

The facility failed to maintain an accurate medication administration record (MAR) for one resident. Specifically, the facility did not remove a discontinued medication (Morphine Sulfate) from the resident's record and provided inaccurate documentation regarding a medication used for skin irritation.

The facility failed to ensure the medication administration record was accurate for one resident. Specifically, the facility failed to remove a discontinued medication (Morphine Sulfate) from the electronic medication administration record (eMAR) and failed to accurately document a medication used to prevent skin irritation.

The facility failed to maintain an environment free of hazards on the special care unit. Specifically, hazardous items including razors, body wash, personal hygiene products, wound cleaner, and hand sanitizer were found accessible to residents in unlocked cabinets or on bathroom counters.

The facility failed to maintain an environment free of hazards on the special care unit. Observations revealed various items such as razors, body wash, wound cleaner, and hand sanitizer left accessible in resident rooms and on bathroom counters. Staff interviews confirmed that personal care products were not being properly secured in locked closets as required by policy.

The facility failed to ensure the environment was free of hazards as evidenced by personal care hygiene products being stored unlocked in six residents' rooms. Additionally, four oxygen canisters were found stored in an unsecured manner on the floor in a resident room, making hazardous substances accessible to residents.

The facility failed to protect food and beverages from contamination by allowing a build-up of pink and black mold-like substance in the ice machine. Observations showed water dripping from the contaminated shield into the stored ice, and the cleaning log had not been updated since July 5, 2018. Additionally, there were no specific instructions provided for cleaning the interior of the ice machine.

The facility failed to ensure that documented actions were taken in response to medication reviews for two sampled residents. Specifically, the facility did not properly document the process of requesting clarification of orders or ensuring that physicians were informed of findings.

The facility failed to protect food and beverages from contamination, as evidenced by a build-up of pink and black mold-like substance in the ice machine. Additionally, the ice machine cleaning log had not been updated since early July, and there were no specific instructions provided for cleaning the interior of the machine.

The facility failed to ensure a nationwide criminal history background check with fingerprints was completed for one sampled staff member. While a statewide check was present, the required fingerprint-based nationwide search was missing from the employee's record.

The facility failed to meet requirements regarding the orientation and training of special care unit staff. Specifically, the facility did not demonstrate compliance with the mandated training hours and documentation for staff assigned to the special care unit.