Green Leaf Care Center

The facility failed to ensure proper health care coordination and follow-up for a resident. Specifically, the facility failed to take a resident to a follow-up orthopedic appointment, failed to notify a provider regarding non-compliance with oxygen administration, and failed to notify a provider that compression stockings were not being used due to unavailability.

The facility failed to ensure proper health care coordination and follow-up for a resident. Specifically, staff failed to take a resident to a scheduled orthopedic follow-up for hip pain and did not notify the provider regarding the resident's non-compliance with oxygen administration or the unavailability of prescribed compression stockings.

The facility failed to maintain all washers and dryers in a safe and operating condition, resulting in residents lacking access to clean linen and clothes. Specifically, an industrial washer had been broken and leaking for months, leading to the accumulation of wet, soiled linen and the overuse of residential machines.

The facility failed to maintain laundry equipment in a safe and operating condition, specifically regarding industrial washers and dryers. This failure resulted in broken machines, leaking water in hallways, and an inability to provide residents with clean clothes and bed linens.

The facility failed to provide adequate supervision for a resident who had a history of falls. Specifically, the facility did not ensure staff provided supervision in accordance with the resident's assessed needs and care plan.

The facility failed to ensure all areas of the kitchen were cleaned according to the established cleaning schedule. The Executive Director is required to conduct weekly rounds and review the cleaning schedule with the Dietary Manager to address these sanitation concerns.

The facility failed to ensure that walls, floors, and floor coverings were kept clean. Specifically, black stains were observed on the cream-colored tiled floors in the B hallway and brown dried stains were found on the floor in Room B10.

The facility failed to adequately address resident care needs and individualized care plans. Specifically, there was a need for improved staff training regarding residents requiring more frequent bathroom assistance due to medications or medical conditions.

The facility failed to properly manage residents at risk for exit seeking. This included issues with the use of roam alert bands and the need for staff training on immediate response protocols and increased monitoring for residents attempting to leave the building.

The facility failed to ensure all staff were properly in-serviced on resident rights. There was a lack of consistent monitoring to ensure staff members were not violating resident rights during care.

The facility failed to ensure medication aides were properly trained in specific administration techniques. Specifically, there was a need for in-service training on the proper use of inhalers and the administration of insulin with meals.

The facility failed to uphold the standards regarding the declaration of residents' rights. This deficiency involved broader failures in maintaining cleanliness, staff training for care needs, and monitoring for residents at risk for exit seeking.

The facility failed to maintain clean walls, floors, and floor coverings in resident rooms and hallways. Observations revealed black stains on the B hallway tiles, brown dried stains in Room B10, and dark black scuff marks in Room 7 and Room 5. Interviews indicated that some floor marks remained even after mopping and that housekeeping cleaning frequency was inconsistent.