Grand Villa Assisted Living at Winston

The facility failed to clarify medication orders with the resident's physician for two out of five sampled residents. Specifically, orders for fast-acting insulin, blood pressure medication, and insomnia medication were not properly verified or clarified as required.

The facility failed to provide necessary personal care for two residents regarding nail maintenance. Specifically, one resident had fingernails that were excessively long, causing nail impressions on the palm, and another resident had toenails that required trimming.

The facility failed to provide necessary personal care for two residents regarding nail maintenance. Specifically, one resident had fingernails that needed trimming and another had toenails that needed trimming, which is a violation of the facility's own policy to check and trim nails during baths.

The facility failed to ensure immediate response and intervention by staff for a resident who was found unresponsive in the dining room. This failure violated the requirement that staff must respond immediately to accidents or incidents to provide care according to facility policy.

The facility failed to ensure staff provided an immediate response and intervention for a resident who was found unresponsive in the dining room. This failure violates the requirement for staff to respond immediately to accidents or incidents involving a resident.

The facility failed to follow sanitation and safety guidelines while providing feeding assistance to two residents. Specifically, a staff member provided feeding assistance without wearing gloves, washing, or sanitizing hands between residents and while handling food items.

The facility failed to follow sanitation and safety guidelines during meal assistance. Specifically, a staff member provided feeding assistance to two residents without wearing gloves, sanitizing hands, or washing hands between handling food for different residents.

The facility failed to ensure medications were administered according to physician orders for two residents. Specifically, staff administered an antipsychotic medication (olanzapine) and a medication to inhibit renal excretion despite hospital discharge orders to hold these medications. Additionally, the facility failed to follow orders regarding an alpha-adrenergic agonist eye drop.