Guilford House

The facility failed to administer medications as ordered for one resident. Specifically, a moisture barrier cream prescribed to prevent incontinent dermatitis was not being applied as directed by the physician's orders.

The facility failed to administer medications as ordered for one resident, specifically regarding the application of a prescribed moisture barrier cream. There was no documentation of the cream being administered in the eMAR, and the medication was not available on hand during the inspection. This failure to follow physician orders increases the resident's risk of skin breakdown and incontinent dermatitis.

The facility failed to administer medications as ordered for one resident. Specifically, a dose increase of diltiazem from 120mg to 240mg was not implemented in the eMAR, resulting in the medication not being administered from 08/29/23 through 09/06/23.

The facility failed to administer medications as ordered for one resident. Specifically, the resident's dose of diltiazem was not increased to the ordered 240mg daily following a hospital discharge, and there were multiple instances where the medication was not documented as administered.

The facility failed to ensure that a resident had physician orders to self-administer several medications, including acetaminophen, antacids, and various supplements. Additionally, there was no documentation of a Self-Administration of Medication Assessment or physician orders authorizing self-administration. Unidentified pills and various over-the-counter medications were also observed in the resident's room without proper oversight.

The facility failed to ensure that Resident #1 had physician orders to self-administer medications, including antacids, pain medication, and various supplements. Additionally, there was no documentation of a Self-Administration of Medication Assessment or specific instructions for administration. Unidentified pills and unlabeled over-the-counter medications were observed in the resident's room.

The facility failed to meet minimum requirements for aide duty hours. Based on observations and record reviews, the facility did not provide the required minimum aide hours on 14 of 22 sampled shifts across several days in November 2019.

The facility failed to meet minimum requirements for aide duty hours. Based on observations and record reviews, the facility did not provide the required minimum aide hours on 14 of 22 sampled shifts across several days in November 2019.