Hamlet House

The facility failed to ensure that one of three sampled medication aides had the required documentation of state-approved medication administration training. Specifically, the employee's file contained a non-state approved certificate and lacked the required 5-hour, 10-hour, or 15-hour training certificate.

The facility failed to ensure that one of three sampled medication aides had the required documentation of the state-approved 5-hour, 10-hour, or 15-hour medication administration training. A review of the staff member's record showed a non-state approved certificate for a 15-hour medication technician manual instead of the required state-approved training.

The facility failed to ensure appropriate referral and follow-up for a resident's acute health care needs. Specifically, the facility did not follow up with the primary care provider regarding an endocrinology referral and a 16-pound weight gain observed over a two-month period.

The facility failed to ensure staff immediately responded to an emergency for a resident with full code orders. Specifically, the facility failed to provide cardiopulmonary resuscitation (CPR) to a resident who was found unresponsive.

The facility failed to ensure staff immediately responded to an emergency for one resident by not providing cardiopulmonary resuscitation (CPR) despite the resident having full code orders. The resident was found unresponsive and had no pulse, but the necessary resuscitation measures were not initiated as required by policy.

The facility failed to ensure proper referral and follow-up for residents' health needs. Specifically, staff failed to notify the primary care provider for two residents regarding symptoms of shortness of breath and heart palpitations. Additionally, one resident did not receive necessary cardiac medication for seven days, and another resident had repeated medication refusals for diabetes, pain, and electrolyte imbalances.

The facility failed to notify the primary care provider for two residents experiencing significant health changes, including increased shortness of breath and heart palpitations. Additionally, one resident did not receive essential cardiac medication for seven days, and another resident experienced repeated medication refusals for diabetes, pain, and electrolyte imbalances.

The facility failed to maintain an uncluttered and safe environment by storing oxygen canisters in an unsecured manner on the floor in resident rooms and the oxygen storage room. Additionally, oxygen canisters were found on a resident's rollator without proper stands or racks to prevent tipping.