Kim's Assisted Living

The Administrator failed to ensure Resident #2 attended a scheduled cardiology appointment on 03/12/24. The Administrator did not identify the appointment from the facility mail and failed to file the notification in the resident's records, resulting in a missed medical appointment.

The facility failed to ensure the acute healthcare needs of a resident were met by failing to take them to a scheduled follow-up cardiology appointment. Records showed a scheduled appointment for 03/12/24, but there was no documentation that the resident attended.

The facility failed to ensure medications were administered according to physician orders, specifically for one resident who did not receive prescribed oxycodone and gabapentin from 02/02/23 to 02/08/23. This failure resulted in the resident experiencing pain and withdrawal symptoms. Investigations revealed the medications were delivered by the pharmacy but went missing from the facility's medication lock box.

The facility failed to ensure medications were administered according to physician orders, specifically regarding a resident who did not receive prescribed oxycodone and gabapentin from 02/02/23 to 02/08/23. This failure resulted in the resident experiencing pain and withdrawal symptoms. The facility was unable to locate the medications despite pharmacy records confirming delivery.

The facility failed to ensure necessary follow-up for a resident's acute health care needs regarding right ear pain. Despite multiple referrals for an ENT specialist evaluation in March and June 2022, the resident had not been seen by the specialist by the time of the survey.

The facility failed to ensure referral and follow-up to meet the routine and acute health care needs of residents. Specifically, for Resident #2, the facility failed to follow up on a required ENT specialist referral for a perforated tympanic membrane and increased hearing loss, despite the need for evaluation and treatment.

The facility failed to maintain a clean environment free of clutter and hazards in the hallway, bathrooms, laundry area, and kitchen. Specific issues included cracked ceiling covers, accumulation of dust, rusted fixtures, and presence of dead insects and cobwebs. Additionally, several floor tiles were found to be cracked, broken, or missing in the kitchen and laundry areas.

The facility failed to maintain a clean environment free of clutter and hazards. Observations revealed cracked ceiling tiles, accumulated dust, cobwebs, dead insects, rusted fixtures, and broken floor tiles in common areas and bathrooms.

The facility failed to ensure an accurate functional assessment was completed annually for all residents. For two of the three sampled residents, there was no documentation of their physical functioning level for activities of daily living.