Richland Square

The facility failed to administer medications as ordered for 2 of 5 sampled residents, specifically involving medications for pain management and constipation prevention. For Resident #2, a physician-ordered Lidocaine 4% topical pain patch was not documented in the eMAR for several weeks and was not available on hand during the survey. This failure resulted in a lack of necessary medication delivery despite active physician orders.

The facility failed to administer medications as ordered for 2 of 5 sampled residents. Specifically, for Resident #2, there were no entries in the eMAR for a prescribed Lidocaine 4% topical pain patch during late October, and the medication was not available on hand during observations in December.

The facility failed to maintain matching therapeutic diet menus for physician-ordered diets to guide food service staff. Specifically, for a resident with orders for a heart healthy/low sodium diet, the facility's therapeutic menu spreadsheet lacked a corresponding menu, and the kitchen's diet list incorrectly indicated a regular diet.

The facility failed to maintain matching therapeutic diet menus for physician-ordered diets to guide food service staff. Specifically, one resident with a physician's order for a heart healthy/low sodium diet was not provided with a corresponding menu, leading to the resident being served a regular diet instead.

The facility failed to administer medications in accordance with physician orders for one resident. Specifically, multiple instances were identified where sliding scale insulin doses were incorrectly administered or documented based on the resident's fingerstick blood sugar levels.

The facility failed to administer medication as ordered for one resident who had a sliding scale insulin order. Specifically, multiple instances in May 2022 were identified where the incorrect number of insulin units were administered based on the resident's fingerstick blood sugar readings.

The facility failed to ensure that one of five sampled residents had an annual FL-2 medical examination form signed by their primary care provider. While an FL-2 was present in the resident's record, it was neither dated nor signed by a physician.

The facility failed to ensure that one of five sampled residents had an annual FL-2 medical examination form that was properly signed by their primary care provider. While an FL-2 was available in the resident's record, the document was neither dated nor signed by a physician.