Navion of Shelby

The facility failed to ensure that licensed health professional tasks (LHPS) were included in the resident care plan. Specifically, for one resident, the care plan did not include the required finger stick blood sugar (FSBS) task.

The facility failed to ensure that licensed health professional tasks (LHPS) were included in the care plan for one resident. Specifically, the task for finger stick blood sugar (FSBS) was identified in physician orders and quarterly evaluations but was missing from the resident's current care plan.

The facility failed to ensure proper referral and follow-up for two out of five sampled residents regarding a medical order. The deficiency related to the requirement to report oxygen saturations of less than 90%.

The facility failed to ensure necessary referral and follow-up care for a resident who required podiatry and physical/occupational therapy. Specifically, a podiatry referral for painful, thickened toenails was not completed, and the resident's physical and occupational therapy needs were not addressed as ordered.

The facility failed to ensure necessary medical referrals and follow-up care for a resident. Specifically, the facility did not facilitate a requested podiatry referral for painful, thickened toenails, nor did they follow up on referrals for physical and occupational therapy services.

The facility failed to ensure the primary care provider (PCP) was notified regarding fingerstick blood sugar (FSBS) results that were outside of the ordered parameters for one resident. While the facility provided periodic updates via fax, they failed to follow specific physician orders requiring immediate notification for values outside the prescribed range.

The facility failed to ensure the primary care provider was notified regarding fingerstick blood sugar (FSBS) results that were outside of ordered parameters for one resident. Specifically, the resident had nine documented instances of blood sugar levels below 70 between September and October 2018 without evidence of required physician notification.