Nellie's Family Care Home

The facility failed to ensure that one of three sampled residents completed a required two-step tuberculosis (TB) test. While documentation showed one negative test result, there was no record of the second required test result for Resident #1.

The facility failed to develop and implement a resident-centered care plan that includes necessary services, supervision, and assistance based on resident assessments. The documentation provided does not show compliance with the required components of the care plan.

The facility failed to ensure the Supervisor-in-Charge (SIC) received the required 12 hours of annual continuing education related to adult care home management and care of the aged and disabled. A review of Staff B's personnel record showed only two hours of continuing education were completed in the last year. Additionally, the administrator could not confirm if the required training hours had been met.

The facility failed to ensure that a staff member acting as the Supervisor-in-Charge met all required training qualifications. Specifically, personnel records for Staff B lacked documentation for CPR training, personal care services training, medication aide training, and the required 12 hours of annual continuing education.

The facility failed to ensure that an appropriate licensed health professional participates in the on-site review and evaluation of residents' health status, care plans, and care provided for residents requiring specific personal care tasks. This includes oversight for tasks such as wound care, medication administration via feeding tubes, and oxygen administration.

The facility failed to ensure that one of three sampled residents had completed required tuberculosis testing upon admission. A review of Resident #3's immunization records showed no documentation that a TB skin test had been performed.

The facility failed to ensure that an appropriate licensed health professional participates in the on-site review and evaluation of residents' health status and care plans for those requiring specific personal care tasks.

The facility failed to ensure staff documented the administration of medications immediately following administration for 3 of 6 sampled residents. Specifically, the Administrator was observed administering eye drops and an inhaler without documenting the administration on the Medication Administration Records (MARs), and October 2019 MARs were unavailable for review.

The facility failed to ensure that the resident's physician signed and dated the care plan within 15 calendar days of assessment completion for 2 of 3 sampled residents. Specifically, for Resident #3, the care plan had not been completed, reviewed, or signed by the physician since the resident's admission in May 2016.