Kerner Ridge Assisted Living

The facility failed to serve therapeutic diets as ordered by the resident's physician. Specifically, one resident on a finger food (FF) diet was served items requiring utensils, such as peach cobbler and cereal in a bowl, rather than the prescribed finger foods.

The facility failed to serve therapeutic diets as ordered by the physician for a resident on a finger food (FF) diet. Specifically, the resident was served items requiring utensils, such as peach cobbler, cereal in a bowl, and scrambled eggs, instead of the prescribed finger foods. Staff members were aware of the resident's diet type but failed to follow the specific dietary orders.

The facility failed to ensure electronic Medication Administration Records (eMARS) were accurate for a resident regarding sliding scale insulin (SSI) Novolog. Specifically, the eMAR lacked documentation for the amount of Novolog administered for 92 out of 92 opportunities during March 2024.

The facility failed to ensure electronic Medication Administration Records (eMARs) were accurate for a resident regarding sliding scale insulin (SSI) administration. Specifically, the eMAR lacked documentation for the amount of Novolog administered across 92 opportunities in March 2024, despite fingerstick blood sugar values being recorded.

The facility failed to provide supervision according to the resident's needs for a resident with a history of falls. Specifically, there was no documentation of increased safety checks following falls in September and October 2022, despite the resident's high fall risk score and need for extensive assistance.

The facility failed to provide supervision according to a resident's assessed needs and history of falls. Specifically, the facility's Falls Management Policy lacked information regarding increasing supervision for residents after a fall, and the resident's care plan requirements were not being met.

The facility failed to provide necessary personal care for a resident in the Memory Care Unit. Specifically, staff did not properly assist with the application and removal of compression stockings, which resulted in the development of leg wounds and sepsis.

The facility failed to provide necessary personal care for a resident in the Memory Care Unit who required assistance with the application and removal of compression stockings. This failure to follow the resident's care plan resulted in the development of leg wounds and sepsis.