Mccracken Rest Home

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, for Resident #9, there was no documentation of a second step in the required two-step TB skin testing process despite the resident having been admitted in September 2022.

The facility failed to maintain hot water temperatures in resident bathrooms between 100 and 116 degrees Fahrenheit. Specifically, temperatures in sinks for rooms #1, #3, #6, #7, and #10 were measured between 118 and 126 degrees Fahrenheit. Residents reported that the water could become very hot, requiring manual adjustment with cold water.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit in six fixtures within shared resident bathrooms. Observations revealed temperatures ranging from 118 to 126 degrees Fahrenheit, posing a potential burn risk to residents.

The facility failed to ensure that all staff and volunteers were properly tested for tuberculosis disease. Specifically, one volunteer working in the kitchen had no documentation of a TB skin test, and another staff member's record showed a skin test was administered without documented results or proper follow-up.

The facility failed to ensure that 2 of 3 sampled staff members were tested for tuberculosis disease with a two-step skin test. Specifically, there was no documentation of a TB skin test for Staff B, who was performing kitchen duties as a volunteer.

The facility failed to ensure the Administrator-In-Charge (AIC) completed the required 12 hours of continuing education credits related to adult care home management within the past 12 months. Record reviews showed only 5 CEUs were documented for the period, and the Administrator was unaware of the deficiency.

The facility failed to ensure that one of the sampled staff members (Staff A) was tested for tuberculosis upon hire. While a skin test was administered in December 2016, there was no documentation of the results or a second required test.

The facility failed to ensure that one of the sampled staff members (Staff A) had a criminal background check completed prior to their hire date.

The facility failed to ensure the Administrator-In-Charge (AIC) completed the required 12 hours of continuing education credits related to the management of adult care homes within the past 12 months. Records only showed documentation for 5 total CEUs from 2018.

The facility failed to demonstrate compliance with tuberculosis testing requirements for staff and live-in non-residents as mandated by state control measures.

The Administrator in Charge (AIC) failed to provide documentation for required continuing education units (CEUs) beyond the three specific courses documented in 2018. The facility's records did not show sufficient evidence of completed annual training requirements for the AIC.