Marion Assisted Living

Personal care aides failed to follow proper policy regarding contacting medical providers for both scheduled and PRN medical situations. The facility must ensure staff are trained to report blood sugar levels that exceed ordered levels and follow up with providers as necessary.

The facility failed to ensure physician notification for two residents regarding significant health changes. Specifically, the facility did not notify the physician of vomiting episodes for one resident and failed to report fingerstick blood sugar levels greater than 400 for another resident.

The facility failed to ensure that one sampled resident (Resident #4) was tested for tuberculosis disease in compliance with control measures. Records showed the resident's last TB test was from 2014, with no documentation of a test administered prior to or after their admission in 2019.

The facility failed to ensure physician notification for three of five sampled residents regarding specific medical needs. This included failure to notify the physician regarding medication to treat elevated potassium, fingerstick blood sugars greater than 300, and an order to hold a medication used to lower cholesterol.

The facility failed to ensure that Resident #4 was tested for tuberculosis disease in compliance with required control measures. Records showed the resident's last TB test was from 2014, with no documentation of a test administered prior to or after their admission in 2019.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, the facility continued to administer levothyroxine 125mcg despite a physician's order to discontinue that dose and transition to 100mcg. This error was evidenced by both the electronic Medication Administration Record and the presence of unused 125mcg medication in a bubble pack.

The facility failed to ensure medications were administered in accordance with physician orders. Specifically, Resident #4 was administered both a discontinued 125mcg dose and the newly ordered 100mcg dose of levothyroxine daily from 09/23/22 to 10/18/22.

The facility failed to ensure residents were served a minimum of three nutritionally adequate, palatable meals per day. Observations and interviews revealed issues with food presentation, such as unappealing large portions of oatmeal and poorly prepared mechanical soft diets. Additionally, residents reported receiving insufficient meat portions and receiving food that was often cold or unappealing.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees F in 6 of 10 sampled fixtures. Specifically, several sinks and tubs in resident rooms and common bathrooms were found to have temperatures ranging from 76 to 86 degrees F.