Heath House

The facility failed to ensure that one of three sampled staff members had completed the required medication aide training and clinical skills competency validation. Personnel records and interviews revealed the staff member had not completed the necessary 5, 10, or 15-hour training course or the required competency validation prior to administering medications.

The facility failed to ensure that therapeutic diets were served as ordered for a resident who required nectar thickened liquids and chopped meats. A review of records and observations showed that the resident's therapeutic diet list incorrectly listed a ground diet instead of the physician-ordered nectar thick liquids.

The facility failed to ensure therapeutic diets were served as ordered for a resident who required nectar-thickened liquids. During snack time, a resident was observed consuming regular cranberry juice instead of the physician-ordered thickened beverage, and staff failed to provide the correct consistency.

The facility failed to ensure that medication aides completed required training on the care of diabetic residents prior to administering insulin and performing fingerstick blood sugar checks. Specifically, a review of personnel records for Staff A showed no documentation of completed training despite the staff member performing diabetic care tasks.

The facility failed to ensure that two sampled medication aides (Staff A and B) had completed required training on the care of diabetic residents. Although these staff members were documented as administering insulin and performing fingerstick blood sugar checks, there was no documentation in their personnel records to verify they had received the mandated training.

The facility failed to administer medications as ordered for two residents. Specifically, Resident #4 was not receiving the correct dosage of carvedilol as updated by a new prescription, and Resident #5 was not receiving medication for gastroesophageal reflux disease as ordered.

The facility failed to administer medications as ordered for two residents. Specifically, a medication aide administered the incorrect dosage of carvedilol (25mg instead of the ordered 6.25mg) to Resident #4 because they failed to compare the medication label to the eMAR.