Poplar Grove

The facility failed to ensure medication administration records (MAR) were accurate for one resident. Specifically, there was a lack of proper documentation regarding a medication (oxcarbazepine) that was being held due to pharmacy delivery delays.

The facility failed to ensure medication administration records (MAR) were accurate for a resident. Specifically, documentation was missing for medications intended to treat partial onset seizures and bi-polar disorder.

The facility failed to ensure a written discharge notice was hand delivered or sent by certified mail to the responsible party or legal representative for one sampled resident prior to discharge. Specifically, the Notice of Transfer/Discharge form for Resident #13 was unavailable for review during the survey.

The facility failed to meet the requirements for written notice before discharging a resident. Specifically, the facility did not ensure that the Adult Care Home Notice of Discharge and Hearing Request Form were properly completed and delivered to the resident or their responsible person as required by regulation.

The facility failed to provide adequate supervision for a resident in a special care unit based on their assessed needs. This lack of supervision resulted in the resident eloping from the facility without staff knowledge on two separate occasions.

The facility failed to maintain a clean and orderly environment free of hazards and obstructions. Specifically, there were identified hazards in the special care unit and residential areas that required new training and daily rounds to mitigate.

The facility failed to adequately assess and manage resident fall risks. This included a need for updated fall risk assessments, improved supervision through the implementation of an 'Angel Program,' and better staff training on fall interventions.

The facility failed to ensure the continuity of care and proper follow-up for resident health needs. Deficiencies were noted in the processing of physician orders, monitoring of blood sugar parameters, and the coordination of healthcare referrals.

The facility failed to maintain the environment in an uncluttered and hazard-free manner. Specifically, opened packs of pre-moistened wipes were left accessible on bedside tables in resident rooms and on a chair rail in the hallway, posing a risk to residents on the special care unit.