Fayetteville Manor

The facility failed to ensure that two sampled medication aides (Staff B and Staff C) had completed the required medication aide examination. Records showed documentation of training and skills validation, but no evidence of passing the written exam. Additionally, an observation revealed a medication pass occurring without a Medication Aide Supervisor present.

The facility failed to ensure medication was administered to a resident as ordered by the physician. Specifically, for a resident with an enlarged prostate, the ordered medication Finasteride 5mg was not administered as prescribed.

The facility failed to ensure that two sampled medication aides (Staff B and Staff C) had completed the required medication aide examination. Records showed training and competency checklists were present, but there was no documentation of the required written examination for either staff member.

The facility failed to ensure activities were provided to promote active involvement by all residents. Observations revealed residents waiting in hallways with no activities offered during scheduled times, and the activity director was incorrectly using meal times and rehabilitative therapy as substitutes for programmed activities.

The facility failed to ensure medications were administered as ordered by a licensed prescribing practitioner for 1 of 2 residents observed.

The facility failed to ensure activities were provided to promote active involvement by all residents. Observations on 10/13/21 showed that despite scheduled items like morning coffee, exercise, and therapy, no activities were actually offered to residents in the dining room, hallways, or television room throughout the day.

The facility failed to provide adequate supervision for residents in accordance with their care plans, as evidenced by multiple residents experiencing frequent falls and emergency room visits. Observations revealed periods where up to 21 residents were left in the TV room without any staff present to monitor them.

The facility failed to provide adequate supervision for residents in accordance with their care plans, as evidenced by multiple residents experiencing frequent falls and emergency room visits. Observations revealed periods where up to 21 residents were left in the TV room without any staff present to monitor them.

The facility failed to maintain hot water temperatures in the Special Care Unit (SCU) on the West Wing Hall between the required 100 degrees F and 116 degrees F. Multiple fixtures, including sinks in shared bathrooms, a community tub, and a private bathroom shower, were found to have temperatures below 100 degrees F. Maintenance logs also showed inconsistent temperature ranges during previous months.

The facility failed to implement proper procedures for single-patient use glucometers used to obtain finger stick blood sugar readings for 6 out of 6 sampled residents. This failure relates to the requirement to implement infection control policies to prevent the transmission of bloodborne pathogens.

The facility failed to ensure residents received adequate and appropriate care in compliance with infection control prevention regulations. Specifically, the facility did not implement proper procedures for the single-patient use of glucometers used for blood sugar monitoring.