Homestead Hills Assisted Living

The facility failed to ensure that medication administration competency evaluations met all regulatory requirements. Specifically, the evaluation must include both a written examination and a clinical skills evaluation conducted by a registered nurse or licensed pharmacist to verify proficiency in required tasks.

The facility exceeded its licensed capacity by having 20 residents residing in the Special Care Unit (SCU) when it was only licensed for 18 beds. This was evidenced by an entrance tour and a review of the resident roster, which showed two residents assigned to assisted living beds were physically residing in the locked SCU.

The facility exceeded its licensed capacity in the Special Care Unit (SCU). While the SCU was licensed for 18 beds, an inspection revealed 20 residents residing in the unit. This included two residents assigned to assisted living beds who were placed in the locked SCU despite not being medically recommended for a locked unit.

The facility failed to ensure proper medication administration for Residents #1, #6, and #7. Specifically, errors were observed during a medication pass involving both prescription and non-prescription medications and treatments.

The facility failed to ensure that 5 of 6 sampled staff members were competency validated by a registered nurse via return demonstration. This lack of validation applied to required tasks including fingerstick blood sugars, insulin injections, and oxygen administration.

The facility failed to provide adequate training regarding the care of diabetic residents. This included failures in ensuring proper referral and follow-up to meet routine and acute health care needs related to physician-ordered glucose monitoring.

The facility failed to provide adequate guidance to food service staff regarding therapeutic diets. Specifically, there was a lack of proper communication and documentation for diets such as mechanical soft, puree, and no added salt.

The facility failed to ensure that 5 out of 6 sampled staff members were competency validated by a registered nurse through return demonstration. This lack of validation applied to essential tasks including fingerstick blood sugars, insulin injections, and oxygen administration.