Heavenly Merciful Home of Tyner

The facility failed to ensure that prescription and non-prescription medications were stored in a locked, secure manner away from resident access. During an observation, five medication bottles, including Allopurinol, Tamsulosin, Bactrim, Lovastatin, and Vitamin D, were found left out on a shelf in the den where residents were present.

The facility failed to ensure medications were stored in a safe manner and locked away from resident access. Specifically, five medication bottles, including prescription drugs like Allopurinol and Tamsulosin, were left out on an unsecured shelf behind a sofa in a common area where residents were present.

The facility failed to maintain clean and safe floor coverings, specifically involving damaged linoleum in the hallway and resident bathroom. Observations revealed a cut in the bathroom linoleum and cracked, lifting linoleum in the hallway that exposed the subfloor. The Administrator acknowledged the hallway damage had persisted for approximately three months without repair.

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The facility failed to ensure that walls, ceilings, and floor coverings were clean and in good repair. Specifically, the linoleum in the resident's bathroom was cut, and the hallway flooring was ripped, torn, and featured a soft spot with exposed subfloor.

The facility failed to ensure that the Administrator had completed a skills competency validation for performing dressing changes for a resident with an infected wound. A review of personnel records showed an outdated evaluation from 2019 that lacked a performance date or documented satisfactory completion for the required task.

The facility failed to ensure that one of four sampled staff members had a tuberculosis (TB) skin test completed upon hire. Record reviews and interviews revealed that the staff member's last documented test was outdated and no documentation of a required test upon employment was present in the personnel file.

The facility failed to ensure that one of four sampled staff members had a tuberculosis (TB) skin test completed upon hire. Record reviews and interviews revealed that the staff member's last documented test was outdated and no documentation of a required test upon employment was present in the personnel file.

The facility failed to perform criminal background checks on four of four sampled staff members prior to their hire dates. Additionally, there was no documentation of signed consent forms for these criminal background checks in the personnel records of the sampled employees.

The facility failed to ensure that one of four sampled staff members had completed the required two-step tuberculosis skin test. While a previous negative test was documented, there was no evidence of the second step of the testing process being completed upon employment or as required.

The facility failed to ensure that all sampled staff had required tuberculosis skin testing upon hire. Specifically, one medication aide lacked documentation of a completed two-step TB test, and a volunteer staff member's personnel file was unavailable for review.