Legends Senior Living

Based on observation and interview, the manager failed to ensure that a refrigerator used by the assisted living facility to store food or medication contained a thermometer accurate to within plus or minus 3° F, placed at the warmest part of the refrigerator. Findings Include: 1. During an environmental inspection of the kitchen, the Compliance Officers were unable to locate a thermometer in the fridge. 2. In an interview, E1 acknowledges that the refrigerator did not have a thermometer in the warmest part of the refrigerator.

Based on documentation review, record review, and interview, the manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge were documented and verified before the caregiver or assistant caregiver provided services and according to policy and procedures, for two of two sampled caregivers. The deficient practice posed a risk if the employees were unable to meet a resident's needs. Findings include: 1. A review of facility documentation revealed a policy and procedure for how skills and knowledge would be verified and documented was not available for review at the time of inspection. 2. A review of E2's and E3's personnel records revealed documentation of skills and knowledge verification was not available for review at the time of the inspection. 3. In an interview, E1 reported being unaware of this rule. E1 acknowledged E2's and E3's personnel records did not contain documented verification of E2's and E3's skills and knowledge.

Based on record review and interview, the manager failed to ensure a medication administered to a resident was documented in the resident's medical record, for one of two sampled residents who received medication administration services. The deficient practice posed a risk if a resident experienced a change in condition due to improper administration of medication. Findings include: 1. In an interview, E1 reported residents receive medication administration. 2. A review of R2's medical record revealed a signed medication order for "Escitalopram 10 mg (milligrams)." Further review of R2's medical record revealed a medication administration record (MAR) dated June 2024. R2's June 2024 MAR revealed "Escitalopram 10 mg" was to be administered at 8:00 AM daily. However, the MAR did not indicate R2 was administered "Escitalopram" on June 1-6, 2024. 3. In an interview, E1 reported R2 was administered "Escitalopram" on June 1-6, 2024, but the marking on the MAR was forgotten or missed. E1 acknowledged medication administered to R2 was not documented in R2's medical record.