Mccullough's Rest Home

The facility failed to ensure that one of three sampled staff members had a completed criminal background check in their personnel file prior to hire. An interview with the Administrator confirmed that the background check had not been obtained for the housekeeper.

The facility failed to notify the primary care provider for one resident regarding elevated finger stick blood sugar readings. This failure occurred despite physician orders requiring blood sugar checks before every meal and at bedtime for a resident with diabetes.

The facility failed to provide necessary personal care assistance for a resident who required help with nail care. Observations revealed the resident's fingernails and toenails were yellowed, long, and jagged, including a broken thumbnail. While the resident expressed resistance to staff assistance, the facility failed to ensure the resident's personal hygiene needs were met according to the care plan.

The facility failed to ensure medications were administered according to physician orders and documented accurately. Discrepancies were noted in the administration times for lamotrigine, quetiapine, and gabapentin, and unadministered medications were observed left out on a dresser.

The facility failed to maintain proper medication counts and oversight. Specifically, there were discrepancies between the bubble pack labels and the actual number of tablets remaining, and the Medication Aide failed to observe the resident taking medications as required.

The facility failed to ensure residents' personal hygiene needs were met, specifically regarding nail care. Observations of Resident #1 revealed long, yellowed, and jagged fingernails and toenails, and the resident was unable to cut them himself due to resistance to assistance.

The facility failed to ensure a resident was free from exploitation by a Medication Technician/Supervisor. Evidence indicated the resident was out of the facility in a private vehicle with the staff member during a scheduled home health visit.

The facility failed to ensure Resident #2 was free from exploitation by a staff member, specifically a Medication Technician/Supervisor. Evidence indicated an inappropriate personal relationship between the staff member and the resident, who had significant cognitive impairments and intellectual disabilities.

The facility failed to ensure proper referral and follow-up to meet the acute health care needs of a resident. Specifically, the facility did not notify the prescribing provider regarding multiple medication refusals for Dupixent, which is used to treat the resident's atopic dermatitis.

The facility failed to maintain an accurate and current therapeutic diet list for food service staff. The kitchen's diet list was outdated, containing five residents who no longer lived at the facility, and it failed to include Resident #3, who had a physician-ordered no concentrated sweets (NCS) diet.

The facility failed to maintain a clean and hazard-free environment. Inspections revealed active and dead cockroaches in kitchen cabinets, drawers, and near meal utensils, as well as urine and feces on the toilet, floor, and tub in the common bathroom.