Family First Assisted Living

The facility failed to maintain complete and orderly resident records as required by regulation. Specifically, documentation including FL-2 or MR-2 forms, care plans, resident registers, and physician orders were not properly maintained or accessible for review.

The facility failed to ensure that all required documentation in resident records was available and accessible within the facility. Specifically, for one sampled resident, the record lacked an FL-2 form, Resident Register, resident assessment, care plan, and physician orders.

The facility failed to ensure necessary follow-up for a resident's ordered laboratory tests, specifically a Hemoglobin A1C and lipid panel. Although physician orders were present, there was no documentation of the completed tests, and the resident reported that staff had not facilitated the required transportation for the labs despite repeated requests.

The facility failed to ensure that a resident had required laboratory testing completed within three weeks of appointment. Specifically, the resident's physician ordered HBA1C and lipid panel testing, but the facility did not facilitate the completion of these tests in a timely manner.

The facility failed to ensure that laboratory testing was completed for a resident as ordered by the physician. The facility did not follow up to ensure the required HBA1C and lipid panel tests were performed.

The facility failed to ensure that laboratory testing was completed for a resident as ordered by the physician. The facility did not follow up to ensure the required HBA1C and lipid panel tests were performed.

The facility failed to notify the Division of Health Service Regulation regarding changes in the residents' evacuation capabilities. During a fire drill on 07/02/24, two residents were unable to exit the building independently, which differs from the facility's licensed status of 6 ambulatory residents.

The facility failed to notify the Division of Health Service Regulation (DHSR) regarding changes in residents' evacuation capabilities. Specifically, two residents did not exit during a fire drill, which differs from the facility's licensed evacuation capability for 6 ambulatory residents.

The facility failed to administer medication as ordered for one resident regarding sliding scale insulin (SSI). Specifically, staff administered incorrect units of Novolog insulin on multiple occasions in June and July 2023 based on the resident's fingerstick blood sugar values.

The facility failed to maintain a hazard-free environment due to missing floorboards in a resident room. The inspection revealed four missing floorboards exposing the subflooring and moisture barrier, along with several cracked floorboards.

The facility failed to ensure follow-up to recommendations made by the Licensed Health Professional Support (LHPS) nurse for two residents. Specifically, the facility did not notify a physician regarding reddened skin and failed to request necessary equipment like heel protectors and an oxygen order.