Latter Days Ltc

The facility failed to complete required resident assessments within 30 days of admission and annually thereafter. Based on interviews and record reviews, the facility failed to ensure proper assessment for 2 of 3 sampled residents.

The facility failed to complete resident assessments within 30 days of admission and annually thereafter. The assessment must include functional, psychosocial, cognitive, and physical information as required by state regulations.

The facility failed to notify the Division of Health Service Regulation when the ambulatory status of two residents changed, making them unable to evacuate independently. Observations and interviews revealed residents required physical assistance and verbal prompting to ambulate, which contradicted the facility's license for six ambulatory residents.

The facility failed to maintain its licensed evacuation capability because two residents were non-ambulatory and unable to evacuate the facility independently. This change in resident status was not properly reflected in the facility's licensed capacity/evacuation capability.

The facility failed to notify the Division of Health Service Regulation when the evacuation capability of residents changed. Specifically, three sampled residents required hands-on guidance and verbal prompting to ambulate and evacuate, which differs from the facility's licensed status for six ambulatory residents.

The facility failed to ensure that three sampled residents had completed tuberculosis (TB) testing in compliance with required control measures. Specifically, there was no documentation of a TB test upon admission or a previous TB test for the residents reviewed.

The facility failed to ensure that the preparation and administration of medications and treatments by staff were in accordance with orders by a licensed prescribing practitioner and facility policies.