Fields Foundation

The facility failed to administer medications as ordered for a resident, specifically regarding a medication used to control blood sugar. Review of medication records showed that Janumet was held on multiple dates in June 2023 despite blood sugar readings that did not necessitate withholding the dose according to physician orders.

The facility failed to maintain fire safety equipment in a safe and operating condition due to a smoke detector that was beeping because of a dead battery. Staff failed to notice or report the beeping, and there was no attempt to test or replace the batteries until prompted by the surveyor.

The facility failed to maintain fire safety equipment in a safe and operating condition. Specifically, a smoke detector in a resident bedroom was beeping due to a dead battery, and staff failed to notice or report the issue until prompted by the surveyor.

The facility failed to ensure that one of three sampled residents received a required second tuberculosis (TB) skin test following their initial admission. While documentation showed an initial negative test in 2019, there was no evidence that the subsequent required testing had been administered or audited.

The facility failed to ensure that one of three sampled residents had received a required second TB skin test upon admission. Specifically, Resident #1 had a documented negative test from 2019 but lacked documentation of a second test since their admission.

The facility failed to ensure that one of three sampled staff members was properly tested for tuberculosis disease upon hire. Specifically, personnel records for Staff A showed a 3mm TB skin test result but lacked documentation of the required second-step testing. The Assistant Administrator was unaware that the staff member's follow-up testing was missing.

The facility failed to maintain clean and good repair of walls, ceilings, and floors in two common bathrooms and the family room. Specific issues included stained floor trim and grout, chipped plaster on a ceiling, rusted floor vents, and thick dust on air vents.

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The facility failed to ensure that three sampled medication aides had completed the state-mandated annual infection control training. Personnel records for Staff A, Staff B, and Staff C lacked documentation of this required training. Interviews with administration confirmed that infection control training was not being conducted annually as required.