Hunter Village

The facility failed to ensure that one of five sampled residents had an updated FL2 medical examination completed annually. Specifically, Resident #3's medical examination was not updated on time, as the most recent exam was not completed until 10/29/24 despite an admission date of 10/01/20.

The facility failed to ensure that Resident #3 had an FL2 medical examination updated annually. Records showed the most recent examination was completed on 08/01/23, which was not within the required timeframe for the resident's admission period.

The facility failed to ensure medications were administered according to the physician's orders for Resident #5. Specifically, there were five instances where insulin (fiasp) was administered despite blood sugar levels being below the required threshold of 130 mg/dL.

The facility failed to discontinue a medication as ordered for one resident. Specifically, the resident's baclofen order was discontinued by the physician on 07/24/23, but the medication was still administered by staff on 07/26/23 because the change was not updated in the electronic medication administration record (eMAR).

The facility failed to discontinue a medication as ordered for a resident. Specifically, a physician's order to discontinue baclofen was not reflected in the electronic medication administration record (eMAR), resulting in the medication being administered after the discontinuation order was issued.

The facility failed to ensure residents were offered activities designed to promote active involvement with each other and the community. Review of the activity calendar showed a lack of scheduled activities, and observations revealed no staff members conducting organized activities. Additionally, resident interviews indicated feelings of being trapped and boredom due to a lack of interesting activities.

The facility failed to ensure residents were offered activities designed to promote active involvement with each other and the community. Observations and record reviews revealed that the February 2022 activity calendar lacked specific activities, and staff were not observed conducting organized activities. Additionally, residents expressed boredom and a lack of interest in the limited programming provided.

The facility failed to administer medication as ordered for one resident. Specifically, the resident's prescribed dose of Aspirin 81mg was not being administered correctly according to the hospital discharge summary and physician orders, resulting in a discrepancy in the medication count.

The facility failed to ensure cleaning supplies were monitored by staff while in use, which resulted in a resident ingesting an unspecified amount of a cleaning agent. The resident, who had a history of schizophrenia and paranoid behavior, drank the agent from a cup and required transfer to an emergency department and subsequent psychiatric admission.