Morning Star Assisted Living #5

The facility failed to ensure that 6 of 7 exit doors accessible to residents assessed as disoriented were equipped with a sounding device of sufficient volume to be heard by staff. During inspection, the front entrance door was found unlocked and produced no audible sound when opened, posing a safety risk for residents with wandering behavior.

The facility failed to ensure that 6 of 7 exit doors accessible to residents identified as disoriented or wandering were equipped with a functioning, audible sounding device. Specifically, several doors in the 100 and 200 halls, as well as the front entrance, did not alarm when opened, and some doors were found unlocked or failed to latch properly.

The facility failed to ensure one of five sampled residents completed the required two-step Tuberculosis (TB) testing. While a first-step skin test was documented, there was no documentation of the required second-step TB test for Resident #3.

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The facility failed to ensure medications were administered as ordered for five of six residents observed during a medication pass. An audit revealed an 42% medication error rate, specifically involving 18 medications administered late.

The facility failed to ensure one of five sampled residents completed the required two-step Tuberculosis (TB) testing. While a first-step skin test was documented, there was no documentation of the necessary second-step test.

The facility failed to ensure that 2 of 5 sampled residents were tested for Tuberculosis (TB) disease in compliance with required guidelines. Specifically, there was no documentation of 1st or 2nd step TB tests or chest x-rays for Resident #1 and Resident #3.

A list containing residents' names and their specific diet orders was found placed in the kitchen area.

A list containing residents' names and their specific diet orders was found placed in the kitchen area.

The facility failed to ensure oxygen cylinders were stored safely, specifically leaving ten large oxygen cylinders on the medication room closet floor and seven small portable oxygen cylinders unsecured on a wooden closet shelf. There were no storage racks or crates available to secure the small cylinders, creating a potential safety risk.

The facility failed to ensure oxygen cylinders were stored safely and secured from tipping. Specifically, seven small portable oxygen cylinders were found unsecured in rows on a wooden closet shelf, and there was no storage rack or crate available for them.