Oak Grove Family Care Home #2

The facility failed to ensure necessary follow-up care for a resident's acute health needs. Specifically, the facility did not schedule or document a podiatry appointment that had been ordered by the resident's primary care provider to address a painful callus.

The facility failed to ensure referral and follow-up to meet the acute health care needs of a resident. Specifically, the facility failed to schedule a necessary podiatry appointment for Resident #1.

The facility failed to ensure that medication administration was documented prior to the administration of medications for 3 of 3 sampled residents. Specifically, the Medication Aide (MA) documented medication administration on the MAR before the medications were actually given to the residents.

The facility failed to ensure that medications stored in a resident's room were stored in a safe and secure manner. An Albuterol inhaler for a resident with an order to self-administer was found in an unlocked drawer of a nightstand rather than in a locked storage area.

The facility failed to notify the Division of Health Service Regulation when the ambulatory status of a resident changed. During a fire drill, it was observed that one resident required hands-on guidance and verbal prompting to evacuate, which contradicts the facility's licensed capacity for ambulatory residents who can evacuate without assistance.

The facility failed to notify the Division of Health Service Regulation when the ambulatory status of a resident changed. Specifically, one resident who was previously considered ambulatory now requires hands-on guidance and verbal prompting to evacuate the facility.

The facility failed to maintain accurate medication administration records (MARs) for residents, specifically regarding medications for high cholesterol, allergies, and blood thinners. For Resident #1, Gemfibrozil was documented as administered on certain dates when the medication was actually not on hand and had been discarded. Additionally, the facility failed to ensure all medications listed on the MAR matched current physician orders and physical inventory.