North Pointe

The facility failed to ensure floors were kept clean and in good repair. Specifically, dark areas were observed on the hallway carpets in the A and D halls, and resident room 30 contained three large carpet stains.

The facility failed to ensure that hallway and resident room carpets were kept clean and in good repair. Observations revealed dark stains on the carpets in the A and D halls, as well as significant staining in resident room 30. Resident interviews indicated that carpets had not been shampooed for several months.

The facility failed to ensure that one of five sampled residents had completed the required tuberculosis (TB) testing upon admission. Records showed no documentation of a first or second TB skin test for the resident, despite their admission to the facility in October 2023.

The facility failed to ensure necessary follow-up for a resident's healthcare needs regarding a laboratory test request. Specifically, there was no documentation that the facility requested an INR laboratory test or notified the Primary Care Provider as required by the physician's orders.

The facility failed to ensure that one of five sampled residents had completed a tuberculosis (TB) test upon admission. Records and interviews confirmed that the resident lacked documentation of a first or second TB skin test prior to entering the facility.

The facility failed to ensure proper referral and follow-up to meet the routine and acute healthcare needs of residents.

The facility failed to ensure physician follow-up was completed for a resident with hypertension, hyperlipidemia, and type 2 diabetes. Specifically, the facility did not document notification to the primary care provider when the resident's systolic blood pressure readings fell outside the ordered parameters of 100 to 140 mmHg on multiple occasions in September, October, and November 2023.

The facility failed to ensure a resident on a prescribed renal diet was served the appropriate therapeutic meals. Observations and interviews revealed the resident was served regular foods, such as a fried fish patty instead of baked fish, which could potentially affect lab results for his dialysis treatments.

The facility failed to serve therapeutic diets as ordered by the physician for two residents. Specifically, Resident #5 was served meals that did not comply with their ordered renal diet, including the provision of fried fish and steak fries instead of the prescribed baked fish and rice or noodles.

The facility failed to serve therapeutic diets as ordered by the physician for 2 of 6 sampled residents. Specifically, Resident #5 was not provided the ordered renal diet during lunch on 08/01/23 and dinner on 08/02/23, receiving regular foods such as fried fish and ham salad instead.

The facility failed to ensure that two exit doors accessible by residents known to be disoriented or wanderers, specifically the smoking area and staff breakroom doors, were equipped with functioning sounding devices. An interview with staff revealed that the breakroom exit alarm had not previously alerted staff and the employee was unaware of procedures for notifying others when the alarm was triggered.