Haywood House

The facility failed to provide training on physical restraints for 1 of 3 sampled staff members. Observations revealed residents being held in Geri chairs with locked lap trays in ways that could be considered restrictive, and there was no documentation that the staff member involved had completed required training on restraint alternatives and care.

The facility failed to maintain management standards for a facility of its capacity. The facility had executed a strategic plan of action to close the community and relocate all residents.

The facility failed to provide required training on physical restraints for 1 of 3 sampled staff members. Observations of residents in Geri chairs with locked lap trays revealed potential misuse or lack of monitoring, and personnel records confirmed no documentation of restraint training for the identified staff member.

The facility failed to ensure a resident's physician was notified of missed doses of valproic acid and magnesium caused by medication unavailability. This failure occurred during a period where the resident exhibited increased agitation and combative behavior.

The facility failed to ensure that a resident's physician was notified regarding missed doses of valproic acid and magnesium. These medications were unavailable for administration, preventing the facility from meeting the resident's routine and acute health care needs.

The facility failed to ensure residents received adequate and appropriate care in compliance with state laws regarding medication aide qualifications. Specifically, the facility did not meet the requirement to provide services in compliance with relevant regulations.

The facility failed to ensure that one of five medication aides (Staff C) completed the required medication competency examination within 60 days of being hired. This failure violates the training and competency evaluation requirements for medication aides.

The facility failed to ensure that one of five medication aides (Staff C) completed the required medication competency examination within 60 days of being assigned medication aide duties. Record reviews showed the staff member's job description changed to Medication Aide on 9/1/16, but there was no documentation of the required examination being passed. Despite this, the staff member continued to document medication administration for several residents throughout November 2016.

The Administrator failed to maintain compliance regarding resident rights and medication administration. Specifically, the Administrator was unaware of how staff were recording medications and how the electronic Medication Administration Record system functioned regarding medication reorders.

The facility failed to ensure that medications, including Oxycod/Apap, Fentanyl Patches, and Seroquel, were administered as ordered for 4 out of 6 sampled residents. This was identified as a Type A2 violation.

The facility failed to provide a reasonable response to a request for a prescribed medication (Oxybutynin) to be discontinued by the prescribing physician for 1 of 6 sampled residents. This was identified as a Type B violation.

The facility failed to ensure that medications, including Oxycodone/APAP, Fentanyl patches, and others, were administered as ordered for 4 out of 6 sampled residents. This was identified as a Type A violation.

The facility failed to provide a reasonable response to a resident's request to discontinue a prescribed medication (Oxybutynin) following a physician's order. This was identified as a Type B violation.