Mars Hill Retirement Community

The facility failed to administer medications as ordered for one of five sampled residents. Specifically, the resident did not receive prescribed calcium carbonate, Vitamin D3, Eliquis, and melatonin as documented in their medical orders.

The facility failed to ensure that all staff members had a completed criminal background check available in their personnel files prior to their hire date. Specifically, two out of five sampled staff members were found to have background checks that were either initiated several days after hire or were missing entirely.

The facility failed to ensure that all staff members had a completed criminal background check available in their personnel files upon hire. Specifically, a review of sampled records showed that two out of five staff members lacked completed background checks or required consent documentation.

The facility failed to ensure that one of three sampled staff members had a completed criminal background check in their personnel file. While a consent form was present, there was no documentation verifying that the background check had actually been obtained or filed.

The facility failed to maintain required documentation in resident records regarding contacts with physicians or other licensed health professionals during illnesses or accidents.

The facility failed to ensure physician orders were implemented for a resident experiencing severe back pain. Specifically, an order for Ibuprofen 400mg-600mg three times daily as needed for pain had not been clarified for the resident to use.

The facility failed to administer medications as ordered by a physician for two sampled residents. Specifically, Resident #2 did not receive a prescribed antidepressant (bupropion HCL) since February 2021 due to an eMAR system glitch and a failure to request refills, and Resident #5 did not receive a prescribed vitamin supplement.

The facility failed to administer medications as ordered by a physician for 2 of 5 sampled residents. Specifically, Resident #2 did not receive a prescribed antidepressant (bupropion HCL) from February 25, 2021, through the survey date due to an eMAR system glitch, and Resident #5 did not receive a vitamin supplement.