Four Oaks Senior Living

The facility failed to ensure necessary medical referrals and follow-up for a resident's acute health care needs. Specifically, the facility did not notify the resident's primary care provider regarding overgrown and discolored toenails, nor did they facilitate a recommended physical therapy evaluation.

The facility failed to maintain a safe and clean environment free of hazards due to the presence of bed bugs in residents' rooms on the 400 Hall of the assisted living side. This failure violates requirements to keep the facility uncluttered and free of obstructions and hazards.

The facility failed to maintain an environment free of hazards in the Special Care Unit (SCU). Unsecured personal care products, such as anti-fungal powder, and hazardous cleaning chemicals were found left out in resident rooms and on toilet tanks. Additionally, a storage cabinet in a shower room was found partially open, leaving body wash visible and accessible.

The facility failed to maintain an environment free of hazards by leaving personal care and cleaning products unsecured in residents' rooms within the Special Care Unit. Specifically, items such as anti-fungal powder, degreaser, and deodorant were found on nightstands or in accessible areas with warning labels. Additionally, a storage cabinet in a shower room was left partially open, exposing body wash.

The facility failed to ensure healthcare referral and follow-up by failing to implement a physician's order for an EKG for one resident. Although the order was placed on 01/16/24, there was no EKG provided for review by 02/07/24, and the Resident Care Coordinator was unaware of the order.

The facility failed to ensure healthcare referral and follow-up for a resident by failing to implement a physician's order for an EKG. Although the order was placed on 01/16/24, the EKG was not completed until 02/07/24 because the care managers failed to review the provider's visit notes.

The facility failed to maintain the Special Care Unit (SCU) environment in a clean and orderly manner free of hazards. Specifically, an unlocked soiled utility room contained accessible cleaning chemicals, including aerosol cans and concentrated cleaners, which posed an ingestion and irritation risk to residents.

The facility failed to maintain the Special Care Unit (SCU) environment in a clean, orderly, and hazard-free manner. Specifically, cleaning chemicals, sharp objects, and personal care products were left accessible in unlocked utility and housekeeping closets. Additionally, physical hazards such as uncovered toilet tanks, missing toilet paper holders, and torn linoleum creating trip hazards were observed in resident bathrooms.