Falls River Village

The facility failed to ensure that one of three sampled staff members had a criminal background check completed upon hire. A review of the employee's record showed a position offer letter and hire date, but no documentation of a criminal background check or consent for one.

The facility failed to provide adequate supervision for a resident with a recent history of falls, including a fractured hip and a head injury. The resident attempted to use a walker independently without calling for assistance, despite a care plan indicating a need for assistance with transfers and mobility.

The facility failed to ensure that one of three sampled staff members had a criminal background check completed upon hire. The personnel record for the employee lacked both the required consent for a background check and documentation that the check had been performed.

The facility failed to provide resident supervision in accordance with each resident's assessed needs, care plan, and current symptoms.

The facility failed to ensure at least one staff member on the premises had completed CPR and choking management training within the last 24 months. Specifically, on the third shift, no trained staff were present for 8 out of 11 sampled shifts during February, March, and April 2019.

The facility failed to ensure at least one staff person on the premises at all times had completed a CPR and choking management course within the last 24 months. Specifically, on the third shift, there was no CPR-trained staff available for 8 of 41 sampled shifts during February, March, and April 2019.

The facility failed to ensure at least one staff member on the premises had completed CPR and choking management training within the last 24 months. Specifically, no trained staff were present on the third shift for 8 out of 11 sampled shifts during February, March, and April 2019.

The facility failed to ensure that one of the three sampled staff members had documentation of a 2-step TB skin test within a 12-month period. Review of the personnel record showed the employee had individual tests but lacked the required 2-step protocol. The Executive Director confirmed the lack of documentation and noted the responsibility for oversight previously rested with a former director.

The facility failed to ensure that one of three sampled staff members was tested for tuberculosis disease in compliance with required control measures. Specifically, there was no documentation of a 2-step TB skin test being completed within a 12-month period for the employee.

The facility failed to ensure that one sampled staff member (Staff B) was tested for tuberculosis disease in compliance with required control measures. Specifically, there was no documentation of a 2-step TB skin test performed within the required 12-month period.