Handmaker Home for the Aging

Based on record review and staff interview, the facility failed to have an annual fuel quality test completed for the facility's diesel generator. Failure to conduct an annual fuel quality test for the emergency generator could result in harm to patients during emergency system failures.

Based on clinical record review, staff and family interviews, facility documentation and policy review, the facility failed to ensure the care plan for one resident (#2) was revised with interventions to address the resident's verbal and physical aggression towards other residents. The deficient practice could result in resident not meeting their needs according to their comprehensive assessment.Â

Based on interviews, facility documentation and postings, the facility failed to ensure the assistant administrator was duly appointed by the governing board. The deficient practice could contribute to actions, inactions or decisions regarding facility deficiencies, as related to attaining or maintaining the highest practicable physical, mental and psychosocial well-being of each resident.Findings include:

Based on observations, clinical record reviews, interviews, and review of facility policy and procedures, the facility failed to protect the rights of one resident (#1) to be free from verbal and physical abuse by another resident (#2). Findings include:

Based on clinical record review, staff and family interviews, facility documentation and policy review, the facility failed to ensure the care plan for one resident (#2) was revised with interventions to address the resident's verbal and physical aggression towards other residents.Â

Based on observations, clinical record reviews, interviews, and review of facility policy and procedures, the facility failed to protect the rights of one resident (#1) to be free from verbal and physical abuse by another resident (#2). The deficient practice resulted in psychosocial harm to resident #1 and the potential for abuse of other residents.  As a result, the condition of Immediate Jeopardy (IJ) and Substandard Quality of Care was identified.Findings include:

Based on clinical record reviews, interviews, and review of facility policy and procedures, the facility failed to implement their policies and procedures on resident protection, abuse reporting and investigation of an allegation of verbal and physical abuse for one resident (#1) by another resident (#2). The deficient practice resulted in further abuse of resident #1 Findings include:

Based on clinical record reviews, interviews, and review of facility policy and procedures, the facility failed to ensure allegations of verbal and physical abuse of one resident (#1) by another resident (#2) was reported to the State Agency (SA) and Adult Protective Services (APS). The deficient practice could result in abuse not investigated and resident not protected from further abuse.Findings include:

Based on interviews, facility documentation and postings, the facility failed to ensure the acting assistant administrator was licensed and duly appointed by the governing authority.  Findings include:

Based on record reviews, interviews, and review of facility policy and procedures, the facility failed to implement their policies and procedures on resident protection, abuse reporting and investigation of an allegation of verbal and physical abuse for one resident (#1) by another resident (#2). Findings include:

Based on clinical record reviews, interviews, and review of facility policy and procedures, the facility failed to ensure allegations of verbal and physical abuse of one resident (#1) by another resident (#2) was reported to the State Agency (SA) and Adult Protective Services (APS). Findings include:

Based on clinical record reviews, interviews and review of facility documentation, policies and procedures, the facility failed to ensure allegations of verbal and physical abuse of one resident (#1) by another resident (#2) were thoroughly investigated and appropriate corrective actions were taken.Findings include:

Based on clinical record reviews, interviews and review of facility documentation, policies and procedures, the facility failed to ensure allegations of verbal and physical abuse of one resident (#1) by another resident (#2) were thoroughly investigated and appropriate corrective actions were taken. The deficient practice could result in resident not protected from further abuse.Findings include:

Violation cited

Violation cited

Violation cited

Violation cited