Haywood Lodge and Retirement Center

The facility failed to ensure two residents received necessary referral and follow-up care for acute health needs related to uterine and rectal prolapse. Staff members were found to be manually reinserting the prolapsed uterus without notifying the Nurse Practitioner or documenting the occurrences, and a scheduled follow-up appointment with an OBGYN was cancelled by the facility.

The facility failed to ensure two residents received necessary referral and follow-up for acute health care needs related to uterine and rectal prolapse. Specifically, staff members were observed manually reinserting a resident's prolapsed uterus without notifying the Nurse Practitioner or documenting the care. Furthermore, a scheduled follow-up appointment with an OBGYN for a resident's uterine prolapse was cancelled by the facility.

The facility failed to ensure medications were administered as ordered for one sampled resident regarding medications used to treat bacterial infections. Specifically, the resident's medical records indicated a diagnosis and hospital visit related to a urinary tract infection, but the facility failed to follow prescribed orders.

The facility failed to ensure that three sampled medication aides (Staff A, B, and D) had completed the required state-approved 5-hour, 10-hour, or 15-hour medication aide training courses. Personnel records lacked documentation of these completed training courses for the staff members.

The facility failed to ensure that three sampled medication aides (Staff A, B, and D) had completed the required state-approved 5-hour and 10-hour or 15-hour medication aide training courses. Personnel records for Staff A and Staff B lacked documentation of this mandatory training despite having completed clinical skills validation and written exams.

The facility failed to ensure that two out of three sampled staff members who tested positive for controlled substances provided physician verification or underwent a second drug screen. Specifically, one staff member tested positive for THC and was not required to complete a follow-up screen, while another staff member's record showed a positive drug screen without documentation of the substance or subsequent testing.

The facility failed to ensure that two out of three sampled staff members who tested positive for controlled substances and lacked physician's prescriptions were not employed. Specifically, a review of a personal care aide's record showed a positive drug screen for THC with no documentation of subsequent screens or required medical verification.

The facility failed to protect a resident from neglect by not repairing or replacing a broken wheelchair that caused pain in the resident's shoulder, hip, and knee. Additionally, the facility failed to offer or document the administration of prescribed medication treatment for the pain caused by the broken equipment for a period of one year.

The facility failed to protect a resident from neglect by not repairing or replacing a broken wheelchair, which caused the resident shoulder, hip, and knee pain. Additionally, the facility failed to offer prescribed medication treatment for the pain caused by the faulty equipment for a period of one year.