Kempton of Jacksonville

The facility failed to ensure medications were administered as ordered for 2 out of 4 residents observed during a medication pass. Specifically, errors were identified involving a topical medication for pain relief and an extended-release medication for high blood pressure, resulting in a 7% medication error rate.

The facility failed to ensure medications were administered as ordered for two residents during the 8:00am medication pass on 06/19/24. Specifically, a staff member failed to use the required dosing card for a topical Diclofenac gel, and a resident was given Metoprolol XR crushed in applesauce despite the medication order stating it should not be crushed.

The facility failed to equip exit doors accessible to residents known to be disoriented or wanderers with a sounding device. Specifically, the front entrance door and a back exit door lacked audible alarms to alert staff when opened. This failure occurred despite the presence of residents on the Assisted Living unit with diagnoses of dementia and disorientation.

The facility failed to maintain hot water temperatures in resident bathrooms between 100 and 116 degrees Fahrenheit. Specifically, temperatures were found to be as high as 122 degrees Fahrenheit in several rooms, posing a potential safety risk.

The facility failed to maintain hot water temperatures at bathroom sinks within the required range of 100 to 116 degrees Fahrenheit. Specifically, monitoring of sinks in the 400 Hall revealed temperatures as high as 122 degrees Fahrenheit. A resident in Room 403 reported that the water was too hot for use in the bathroom.