Fred Lind Manor

The licensee failed to ensure the Negotiated Service Agreement (NSA) contained information necessary to meet the care needs for one resident, placing them at risk.

The licensee failed to develop and implement systems to support safe medication service, resulting in one resident receiving medication outside of parameters.

Three pets were not current with required vaccinations or certified to be free of diseases transmissible to humans, placing 80 residents at risk of exposure.

The licensee failed to ensure the Negotiated Service Agreement (NSA) contained a plan and interventions to monitor one resident who had an indwelling catheter.

Facility failed to ensure the Negotiated Service Agreement (NSA) contained a plan and interventions to monitor a resident with an indwelling catheter, placing the resident at risk of harm.

Facility failed to ensure 3 of 3 new staff received orientation prior to working with residents.

Facility failed to ensure 4 of 4 sampled caregivers received specialized dementia training.

Deficiency corrected

Deficiency corrected

Deficiency corrected

Deficiency corrected

Facility failed to ensure 3 of 3 new staff were screened for TB within three days of employment.

Facility failed to ensure 1 of 3 new staff completed required background check prior to working, and failed to ensure 2 of 4 sampled staff updated background checks after 2 years.

Failed to maintain water temperatures between 105 and 120 degrees F; temperatures found as high as 136.2 degrees F.

Facility failed to obtain signatures on Service Plans for 7 of 7 sampled residents.

Facility failed to ensure 4 of 4 sampled staff completed national fingerprint background checks.

Facility failed to maintain/post a Medical Testing Site Waiver (MTSW/CLIA) certificate, failed to maintain documentation of staff medical clearance/fit-testing for respirators, and failed to post the previous full inspection report for residents.

Failed to ensure 2 of 3 sampled pets remained current with required vaccinations.

Facility failed to ensure 4 of 4 sampled caregivers received specialized mental health training.

Deficiency corrected

Failed to keep kitchen clean/sanitary, store food properly, monitor food temps, and lack of a dietitian-approved dietary manual.

Failed to obtain signatures on Service Plans for seven residents and/or their representatives.

Failed to ensure dietary manual and menu items were approved by a registered dietician and reviewed every five years.

Failed to ensure hot water boiler maintained a temperature between 105 and 120 degrees Fahrenheit, putting 44 residents at risk of scalding.

The licensee failed to obtain signatures on the Service Plans (equivalent to Negotiated Service Agreement) for seven residents.

The licensee failed to maintain a Medical Testing Site Waiver/CLIA waiver certificate, failed to ensure two staff had medical clearance for fit-testing, four staff were fit-tested for respirator masks, and failed to ensure a copy of the results of the previous inspection were posted for residents and resident representatives to view.

The facility failed to implement a Respiratory Protection Program (RPP). Staff were not provided with fit-testing for respirators (such as N95 masks), and the facility lacked required medical evaluations and documentation for health care workers.

The facility failed to timely add a physician's order for triamcinolone 0.1% cream to the Medication Administration Record (MAR), and failed to contact the prescribing physician when the medication was delivered without a faxed order.

The facility failed to implement a Respiratory Protection Program (RPP) ensuring care staff were medically evaluated and fit-tested for respiratory masks.