Graceland Living Center II

The facility failed to ensure the accuracy of a resident's Electronic Medication Administration Record (eMAR). Specifically, the record lacked documentation regarding the omission of treatments and the reasons for such omissions, including medication refusals.

The facility failed to ensure the Electronic Medication Administration Record (eMAR) was accurate by not documenting treatment omissions or refusals. Specifically, for one resident, the eMAR showed daily application of compression stockings with no exceptions, despite multiple observations by surveyors that the resident was not wearing them and the resident's physician being unaware of any recent refusals.

The facility failed to maintain a current building sanitation report. The most recent inspection was dated 06/14/23, and the facility had not contacted the local environmental health representative to request a new inspection.

The facility failed to ensure that Licensed Health Professional Support (LHPS) competency validations were completed for certain tasks, such as clean dressing changes. Specifically, documentation was missing for a Manager/Medication Aide and was incomplete for a Personal Care Aide/Medication Aide.

The facility failed to maintain a current building sanitation report. The most recent inspection was dated 06/14/23, and the local health department confirmed the inspection was past due and that the facility had not requested a new inspection.

The document identifies a requirement for licensed health professionals to validate the competence of staff performing delegated personal care tasks, but the specific findings for this deficiency were not included in the provided text.