Parker Terrace

The facility failed to implement physician orders for Resident #2 regarding blood pressure monitoring. Specifically, staff failed to notify the primary care provider when the resident's diastolic blood pressure was recorded below 60 on multiple occasions between August and October 2022.

The facility failed to ensure the proper administration of treatments as ordered. Documentation showed a failure to follow specific parameters for medication-related monitoring and physician notification.

The facility failed to implement physician orders for one resident by not notifying the primary care provider when the resident's diastolic blood pressure fell below 60. Documentation showed multiple instances in August, September, and October 2022 where blood pressure readings were below the threshold without evidence of provider notification.