My Guardian Angel Family Care Home

The facility failed to ensure medications were safely secured from resident access. Specifically, two medications, including Gabapentin and Proloxin, were found left in plastic cups on a kitchen counter rather than being kept under locked security.

The facility failed to properly secure medications from resident access. Specifically, two clear plastic cups containing Proloxin 10mg and Gabapentin 300mg were left unsecured on a kitchen counter near residents during lunch. This practice creates a risk of residents taking unprescribed medications or experiencing falls due to potential side effects like drowsiness.

The facility failed to ensure that physician orders for Resident #1 were implemented and documented. Specifically, there was no documentation that a low-dose CT scan for lung cancer screening, required blood work (including CBC, CMP, A1C, and magnesium), or an eye exam had been completed as ordered.

The facility failed to ensure that physician orders were implemented and documented in the resident's record. Specifically, one resident did not have a scheduled low-dose CT scan for lung cancer screening, required blood work, or an eye exam completed as ordered by their healthcare provider.

The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease in compliance with required guidelines. Specifically, there was no documentation that a TB skin test had been completed for Resident #2, and there was no documentation of a required second-step TB skin test for Resident #3 following a negative test in 2014.

The facility failed to maintain clean and well-repaired walls, ceilings, and floors. Specific issues included stained floor trim and grout, a soft wood floor creating a trip hazard in bathroom #1, torn linoleum in bathroom #2 and the hallway, and rusted or dusty vents in multiple areas.

The facility failed to ensure that one Medication Aide completed the mandatory annual state-required infection control training. Personnel records lacked a hire date for the staff member, and the employee was unaware that a separate infection control training was required.

The facility failed to ensure that one of one Medication Aide completed the mandatory annual state medication aide infection control training. A review of personnel records and interviews revealed the staff member was unaware of the requirement for separate infection control training.