Pandora Family Care Home

The facility failed to ensure appropriate follow-up for a resident's acute health care needs. Specifically, there was no documentation of a required neurology consultation despite a physician's order for a neurology consult following a visit for dizziness.

The facility failed to meet the acute health care needs for 1 of 3 residents sampled regarding referrals for urology and neurology specialty evaluations. Specifically, the facility did not ensure appropriate follow-up for a resident with complex diagnoses including urinary incontinence and major neurocognitive disorder.

The facility failed to maintain a program of activities designed to promote residents' active involvement with each other, their families, and the community.

The facility failed to ensure the implementation of weekly blood pressure monitoring for a resident with a diagnosis of hypertension. Review of medication administration records showed no entries or documentation of weekly blood pressure checks for the resident during June, July, and August 2024.

The facility failed to implement and document weekly blood pressure monitoring for a resident with hypertension. Review of medication administration records and interviews with staff confirmed that physician orders for weekly blood pressure checks were not being followed or recorded.

The facility failed to ensure that water and other beverages were served at mealtimes according to the menu for 3 of 3 sampled residents. Specifically, residents were not provided with the required low-fat milk, orange juice, or water during breakfast and lunch, and were instead served tea. The medication aide interviewed stated she was unaware that these beverages were required to be served at each meal.

The facility failed to ensure that water and other beverages were served to residents at each meal as required by the daily menu. Specifically, during observations of breakfast and lunch, residents were not provided with the milk, juice, or water listed on the menu, receiving tea instead.

The facility failed to ensure that two out of three sampled residents had completed the required tuberculosis (TB) testing upon admission. Specifically, records for Resident #2 and Resident #3 showed documentation of only one TB skin test with no evidence of a second required test.

The facility failed to ensure that 2 of 3 sampled residents had completed required tuberculosis (TB) testing upon admission. Specifically, records for Resident #2 and Resident #3 only documented one TB skin test, with no documentation of a second required test.