Lisa's Family Care Home #2

The facility failed to ensure the electronic medication administration record (eMAR) was accurate for 2 of 3 sampled residents. Specifically, for Resident #1, there was a failure to document blood sugar readings and the amount of insulin administered on multiple dates between February and April 2023.

The facility failed to ensure the electronic medication administration record (eMAR) was accurate for two residents. Specifically, documentation was missing regarding blood sugar levels and sliding scale insulin for Resident #1, and the application of cream for dermatitis for Resident #3.

The facility failed to notify the primary care provider (PCP) of medication refusals for one resident. The resident had refused two nebulizer medications and one inhaler medication over a period of two months without the physician being notified.

The facility failed to ensure that 2 of 3 sampled staff members had completed criminal background checks upon hire. Specifically, there was no documentation of completed background checks or signed consent forms for Staff A and Staff B, including for a rehire.

The facility failed to ensure that 2 of 3 sampled staff members had a criminal background check completed upon hire. Specifically, personnel records for two Supervisor-In-Charge staff members lacked documentation of completed background checks and signed consents for such checks.

The facility failed to ensure that one of three sampled residents had completed required tuberculosis testing upon admission. While a screening form was used due to COVID-19-related testing limitations, the facility did not meet the regulatory requirement for completed testing as specified in the rules.

The facility failed to administer medications as ordered for one resident. Specifically, a medication order for Latuda dated 05/28/19 lacked a specified dose, route, or time, leading to inconsistent administration compared to previous orders.

The facility failed to ensure physician clarification for an incomplete FL2 form for one resident. Specifically, the updated medical examination lacked diagnoses, diet orders, level of care recommendations, and resident information.

The facility failed to ensure medications were administered according to physician orders for 2 of 3 sampled residents. Specifically, for Resident #1, a physician's order for Zofran 4mg every 6 hours was not transcribed to the medication administration record, and the resident was instead receiving 8mg three times daily. Additionally, the current FL-2 form did not reflect the Zofran order.