Navion of Greenville

The facility failed to ensure necessary referral and follow-up for a resident's acute health care needs. Specifically, the facility did not ensure that a physician-ordered referral to a mental health provider for the management of somatic delusion disorder and insomnia was completed or resulted in a scheduled appointment.

The facility failed to ensure referral and follow-up to meet the acute health care needs of a resident. Specifically, the facility did not ensure that a physician's order for a mental health referral was completed or documented as scheduled.

The facility failed to provide adequate supervision for 2 out of 5 sampled residents based on their assessed needs and current symptoms. This failure resulted in one resident experiencing 13 falls over a 7-month period and another resident experiencing 4 falls within a 2-month period.

The facility failed to ensure the implementation of physician orders for blood pressure monitoring for a resident. Specifically, orders to check blood pressure twice daily in February and once daily in March were not entered into the electronic medication administration record (eMAR), preventing medication aides from following the prescribed protocol.

The facility failed to ensure the implementation of treatments or orders by failing to enter physician orders for blood pressure checks into the electronic medication administration record (eMAR). Specifically, for Resident #1, orders to check blood pressure twice daily and later once daily were not documented in the eMAR, resulting in missed blood pressure monitoring from 02/08/23 to 03/24/23.

The facility failed to administer medications as ordered for 2 of 4 residents observed during a medication pass. Errors included mistakes with a blood thinner, a supplement, and a diuretic, resulting in a 10% medication error rate during the 8:00 a.m. medication pass on 03/14/23.

The facility failed to ensure that one of three sampled residents was tested for tuberculosis disease upon admission. A review of Resident #2's records showed no evidence of a TB skin test or screening despite their admission in 2016.

The facility failed to ensure that one of three sampled residents was tested for tuberculosis disease upon admission. A review of the resident's record showed no TB skin test or specific TB screening was completed at the time of admission.

The facility failed to ensure that residents were evaluated by a licensed health professional for specific tasks within the required timeframe. This includes the requirement for on-site review and evaluation of health status and care plans within 30 days of admission or development of need.