Psalm 23 Homecare

The facility failed to ensure that the service plan was approved and signed by the resident or a person responsible for the resident's health care decisions, or that it was updated annually and upon a significant change in condition, based upon an assessment of the resident, or that care was provided to the resident based upon that assessment.

The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.

The facility failed to keep discontinued medications separate from current medications or failed to meet requirements for appropriate disposal of discontinued medications.

The facility failed to ensure that resident records included the required information and documentation.

The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

The facility failed to ensure that a licensed person or a trained, authorized, and delegated person administered medications according to physician's orders.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

The facility failed to conduct criminal history checks of employees and applicants.

The facility failed to appropriately supervise the medication regimen of a resident who was incapable of self-administering without assistance.

The facility failed to describe and document an injury, accident, or illness in the manner required.

The facility failed to perform a comprehensive resident assessment that addressed all required physical, social, psychological, and clinical issues.

The facility failed to ensure residents in a Type A facility could evacuate within 13 minutes.

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

The facility failed to search the NAR and EMR annually.

The facility failed to immediately make an oral report of alleged ANE or send a written report of the investigation to DADS when required.

The facility inappropriately admitted or retained residents whose needs could not be met.

The facility failed to list each resident's medications on a specific medication profile record documenting the required medication details (e.g., strength and dosage).

The facility failed to provide a locked area for all medications.

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

The facility failed to implement procedures that assure safe and sanitary use and storage of oxygen.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to ensure resident bedroom doors were in compliance with licensing standards for assisted living facilities.

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

The facility failed to ensure the building was kept in good repair.

The facility failed to ensure a written emergency plan that addresses the eight core functions of emergency management was provided.