Pathways II

The facility failed to administer medications according to provider orders for one resident. Specifically, there was no documentation that Topiramate was administered between 07/01/25 and 07/08/25, despite the medication being available at the facility as of 07/08/25.

The facility failed to administer medications according to provider orders for one resident. Specifically, Topiramate was not administered from 07/01/25 to 07/08/25 because the facility failed to timely request a refill from the physician despite a pharmacy note indicating a new prescription was needed.

The facility failed to administer medications as ordered for one resident. Specifically, an expired medication used for pain was being administered, and the medication administration did not align with the physician's updated orders.

The facility failed to administer medications as ordered because an expired medication was used for pain management. Specifically, a bubble card containing Acetaminophen was found to have an expiration date of 12/26/23, yet it was still in use during the February 2024 survey.

The facility failed to ensure that one of three sampled residents had completed tuberculosis (TB) skin testing upon admission. A review of Resident #1's records showed no documentation of a completed TB skin test, and the resident could not recall when a test was last performed.

The facility failed to ensure that one of three sampled residents was not admitted for the treatment of a mental illness. Specifically, Resident #1 was admitted with a diagnosis of schizophrenia and exhibited behavioral health issues, including aggressive behaviors, despite regulations prohibiting admission for mental illness treatment.

The facility failed to ensure that Resident #1 was not admitted for the treatment of a mental illness. Records and interviews revealed the resident had a diagnosis of schizophrenia and was being followed by behavioral health for mental health issues. The facility admitted the resident despite the regulation prohibiting admission for the treatment of mental illness.

The facility failed to maintain hot water temperatures at resident-accessible fixtures between 100 and 116 degrees Fahrenheit. Observations revealed temperatures as high as 127 degrees F at various sinks and showers. Additionally, a shower hot water knob was found to be non-functional.