Harmony at Reynolds Mountain

The facility failed to ensure that a resident who was self-administering medications had a physician's order to do so. Specifically, one resident was found keeping multiple medications, including insulin, in an unlocked storage box without documented authorization from a provider.

The facility failed to ensure that Resident #6 had the required physician's orders to self-administer several medications, including insulin, calcium carbonate, and albuterol sulfate. Additionally, the resident was found keeping these medications in an unlocked storage box in her room without proper documentation or facility oversight.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, Vitamin B-12 was not administered on multiple dates in December 2024 and January 2025 because the supplement was documented as 'not in the medication cart'.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, Vitamin B-12 was not administered on multiple dates between December 2024 and January 2025 because the medication was not available in the medication cart and no refill was requested from the pharmacy.

The facility failed to ensure that the Resident Register was properly completed and signed. Specifically, record reviews and interviews revealed that the Resident Register was not signed and dated by both the Administrator and the resident.

The facility failed to ensure minimum staff were present to meet the needs of residents. Specifically, the facility did not meet required aide duty hours for 3 out of 42 shifts sampled between 07/04/24 and 07/17/24.

The facility failed to maintain required staffing levels to meet resident needs. Specifically, the home did not ensure the required minimum hours of aide duty were met for the first and second shifts based on the facility's census and capacity.

The facility failed to ensure that medication aides completed required state-approved clinical skills validation and necessary medication training. Specifically, 3 of 3 sampled medication aides lacked documentation of clinical skills validation, and 1 of 3 sampled aides lacked documentation of required 5-hour, 10-hour, or 15-hour medication training.