Pandora Family Care Home III

The facility failed to ensure that all current medication or treatment orders were reviewed and signed by the resident's physician at least every six months. Specifically, physician orders for two sampled residents for the months of March, April, and May 2025 lacked the required signatures from their Primary Care Providers.

The facility failed to ensure that residents' routine and acute health care needs were met. Specifically, the Administrator could not provide documentation of notifying the Mental Health Professional (MHP) and Primary Care Physician (PCP) regarding a resident's June 2023 emergency room visit for psychiatric evaluation. Consequently, the psychiatrist was not aware of the incident until a telemedicine visit in August 2023.

The facility failed to ensure appropriate licensed health professional support for residents. The documentation indicates a lack of coordination between the facility and health professionals regarding significant changes in resident behavior and medical events.

The facility failed to ensure timely follow-up with a mental health provider for a resident who had been sent to the emergency room for psychiatric evaluation. This failure occurred despite the resident having a diagnosis of schizophrenia and exhibiting acute psychosis and aggressive behaviors.

The facility failed to ensure that a licensed health professional evaluation was completed for a resident who required an assistive device for ambulation. Specifically, for one resident admitted on 10/11/21, there was no record of an evaluation by a registered nurse, occupational therapist, or physical therapist despite the resident's need for a rolling walker.

The facility failed to ensure a licensed health professional support evaluation was completed for one resident who required an assistive device for ambulation. Although the resident was admitted on 10/11/21, no evaluation had been documented by the required 30-day deadline.

The facility failed to provide the required minimum of 14 hours of a variety of planned group activities per week. The activities provided did not meet the regulatory standard for promoting socialization, physical interaction, and creative expression.

The facility failed to ensure that a licensed health professional support evaluation was completed for a resident who required an assistive device for ambulation. Specifically, for one resident admitted on 10/11/21, there was no record of an evaluation by a registered nurse, occupational therapist, or physical therapist despite the resident's need for a rolling walker.