One Choice Family Care Home INC.

The facility failed to provide adequate plans of correction regarding supervision and admission deficiencies. Specifically, the facility needs to specify supervision training interventions for eloping disoriented residents and detail how supervision will be increased until a secure unit is available.

The facility failed to ensure that one of three sampled residents had completed required tuberculosis (TB) testing upon admission. A review of Resident #2's record showed no documentation of a TB skin test, and staff were unable to locate the necessary medical documentation.

The facility failed to ensure that one of three sampled residents had completed required tuberculosis (TB) testing upon admission. A review of Resident #2's record showed no documentation of TB skin tests, and the Administrator could not locate the necessary medical documentation.

The facility failed to ensure that 1 of 2 sampled residents had completed the required tuberculosis (TB) testing upon admission. Specifically, Resident #1 had documentation of only one TB skin test, whereas the required second test was missing from the medical record.

The facility failed to ensure the implementation of the facility's Infection Prevention and Control Program (IPCP) and related policies in the event of a communicable disease outbreak or emerging infectious disease threat.

The facility failed to ensure that one of two sampled residents had completed the required tuberculosis (TB) testing upon admission. Specifically, documentation showed only one TB skin test for Resident #1, with no evidence of the required second skin test.

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The facility failed to maintain clean and good repair of walls, ceilings, and floors. Specific issues included torn linoleum in the kitchen exposing the sub-floor, ripped carpet seams in the hallway, and peeling paint on bathroom walls. Additionally, discoloration was noted on the bathroom floor covering.

The facility failed to maintain walls, ceilings, and floors in a clean and good repair. Specifically, the kitchen floor had torn linoleum with visible sub-flooring, the hallway carpet was ripped at the seams, and the hall bathroom had numerous areas of peeling paint and discolored linoleum.

The facility failed to ensure proper health care oversight and communication regarding environmental hazards. The Administrator was unaware of peeling paint in the bathroom and had not addressed previously identified maintenance issues noted in the September 2016 Environmental Health Report.