Pioneer Healthcare #1

The facility failed to maintain a hazard-free environment due to three unsecured 26-inch oxygen tanks sitting upright on the floor in a resident's room. There was no rack or crate available to stabilize the tanks, posing a potential safety risk.

The facility failed to ensure electronic medication administration records (eMAR) were accurate for two sampled residents. Specifically, there was no documentation of albuterol administration for Resident #1 for the period of January 1, 2024, through March 6, 2024, despite an active order for the medication as needed.

The facility failed to maintain a hazard-free environment due to three unsecured oxygen tanks sitting upright on the floor in a resident's room. There was no rack or crate available to stabilize the tanks, posing a potential safety risk.

The facility failed to ensure the resident's medication administration record (MAR) was accurate and included all required elements such as name, medication/treatment order, strength, and dosage.

The facility failed to ensure that one of two sampled staff members was tested for Tuberculosis (TB) disease in compliance with required control measures. While the staff member had a negative test from their hire date, there was no documentation of a subsequent required TB skin test on file.

The facility failed to ensure that blood pressure checks were implemented and documented as ordered for two of three sampled residents. Specifically, for Resident #1, there was no evidence of monthly blood pressure monitoring in the medication administration records for September, October, or November 2022, despite a physician's order for such monitoring.

The facility failed to ensure that 1 of 2 sampled staff members was tested for Tuberculosis (TB) disease in compliance with required control measures. While the staff member had a negative test from their hire date in 2020, there was no documentation of a subsequent TB skin test on file.

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The facility failed to ensure that 2 of 3 sampled residents had completed the required two-step tuberculosis (TB) testing upon admission. Specifically, documentation for the second step of the TB skin test was missing for both Resident #1 and Resident #2.

The facility failed to ensure that 2 of 3 sampled residents had completed the required two-step tuberculosis (TB) testing upon admission. Specifically, documentation for Resident #1 only showed a single TB skin test from 2019 without evidence of the required second step.