Grayson Creek of Welcome

The facility failed to administer medications as ordered for one resident. Specifically, the resident's prescribed Incruse Ellipta inhaler was unavailable for administration on 09/17/25 because the medication had run out and needed to be reordered.

The facility failed to administer medications as ordered for one of five sampled residents. Specifically, the resident did not receive the ordered Incruse Ellipta and Flonase medications.

The facility failed to provide complete table service with non-disposable place settings for each meal. During lunch service in the Special Care Unit, residents were provided with silverware packets containing only a fork and a spoon, but no knives were provided. This lack of proper utensils resulted in residents having to use their fingers or attempt to cut food with spoons to eat their meals.

The facility failed to provide proper table service consisting of a napkin and non-disposable place settings including a knife, fork, spoon, plate, and beverage containers. During observations in the Special Care Unit on 09/17/24, the facility failed to meet these requirements for meal service.

The facility failed to provide proper table service with complete place settings, specifically lacking knives for residents. During meal services, residents were observed eating chicken with their hands or struggling to cut food because knives were not provided at their settings.

The facility failed to provide complete table service during lunch in the Special Care Unit. Specifically, the prepared place settings for 13 residents lacked the required non-disposable items, including napkins, knives, forks, spoons, plates, and beverage containers.

The facility failed to ensure follow-up with the primary care provider to meet the healthcare needs of a resident with dysphagia and esophageal stricture. Specifically, the facility did not adequately manage the resident's medical needs following their hospital discharge.

The facility failed to administer medications as ordered for one resident regarding an insomnia medication. Specifically, the facility continued to document the administration of 30mg of temazepam as a scheduled 8:00pm dose, despite a physician order dated 05/07/21 changing the instruction to 1 capsule at bedtime as needed.