Prestwick Village

The facility failed to serve a therapeutic diet as ordered by the resident's physician. Specifically, a resident on a mechanical soft diet was served a toss salad instead of the required soft, well-cooked vegetables. The Dietary Manager admitted to serving the same food to all residents and was not following the modified diet instructions in the recipe book.

The facility failed to serve therapeutic diets, including mechanical soft textures and thickened liquids, as ordered by the resident's physician. Specifically, a resident on a mechanical soft diet was served a tossed salad instead of soft cooked vegetables, and was served chopped bacon instead of the required ground sausage. Staff members were unaware that specific diet instructions were located within the recipe book.

The facility failed to ensure that medication aides were competency validated for Licensed Health Professional Support (LHPS) tasks. Specifically, two of three sampled medication aides lacked documentation for competency validation regarding collecting and testing fingerstick blood samples and medication administration through injections.

The facility failed to ensure that two out of three sampled medication aides were competency validated via return demonstration for Licensed Health Professional Support (LHPS) tasks. Specifically, there was no documentation that staff members were validated for tasks including collecting and testing fingerstick blood samples, medication administration through injections, and medication inhalation by machine.

The facility failed to ensure that a maintenance staff member (Staff E) was competency validated by a registered nurse via return demonstration prior to performing LHPS tasks. Specifically, the staff member performed transfers of a non-ambulatory resident without the required training or skills validation. This lack of oversight resulted in untrained personnel performing high-risk physical transfers.

The facility failed to ensure that a staff member (Staff E) was competency validated by a registered nurse via return demonstration prior to performing Licensed Health Professional Support (LHPS) tasks. Specifically, there was no documentation of competency validation for transferring residents, and the staff member admitted to performing transfers for a semi-ambulatory resident without receiving the required training.

The facility failed to ensure that a staff member (Staff E) was competency validated by a registered nurse with return demonstration prior to performing Licensed Health Professional Support (LHPS) tasks. Specifically, there was no documentation of competency validation for transferring residents, and the staff member admitted to performing transfers for a semi-ambulatory resident without receiving the required training.