Open Arms Assisted Living Suite B

A licensure revisit was completed on 1/4/23 for all previous deficiencies cited on 11/18/21. Deficiencies were cited. Based on interview and record review, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration, affecting one of three sample residents (#4).This deficiency was cited previously during a second initial survey completed on 11/18/21. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:Resident #4 was admitted to the residence on 11/5/21. A written practitioner' s order, dated 10/20/22, directed the residence to administer senna 8/6 mg once daily. However, the December 2022 medication administration record read the medication was not administered on 12/6/22 due to being out of stock. On 12/4/23 at approximately 2:56 p.m., the administrator stated that residents should not have missed doses of prescribed medication. She added the residence had non-compliance previously and had not followed through with the necessary corrections, which resulted in continued non-compliance. Based on record review and interview, the residence failed to develop a fall management program that included the required elements, affecting seven current residents. This deficiency was cited previously during a second initial survey completed on 11/18/21. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:On 1/4/23 at approximately 8:00 a.m., the residence' s fall management program was requested. On 1/4/23 at approximately 9:30 a.m., the administrator provided the fall management program. Review of the fall management program revealed it did not address the following required elements:Providing fall management education and materials to residents and family members; Detailing in each resident' s care plan the individualized approach necessary to address fall risk related to deficits in strength, balance, and eyesight, or effects of medication as identified during the comprehensive resident assessment; Providing resident engagement activities to improve strength and balance; Routinely inspecting and maintaining a safe exterior and interior environment; Providing staff training related to fall prevention.On 1/4/23 at approximately 3:00 p.m., the administrator stated she was not aware that the residence' s fall management progra..