Richmond Hill Assisted Living #4

The facility failed to maintain resident records in an orderly manner and make them readily available for review. During the survey, no resident records were available for inspection, and staff were unable to locate them.

The facility failed to maintain resident records in the adult care home in a manner that was readily available for review. During the survey, no resident records were available for inspection, as they were being held in a separate building for electronic conversion. Additionally, staff members were unable to identify the location of the resident records.

The facility failed to ensure the premises were free of hazards by storing oxygen tanks in an unsecured manner. Specifically, nine oxygen tanks were found sitting on the floor of an unlocked storage room without a crate or steadying device to prevent them from being knocked over.

The facility failed to maintain accurate records of resident personal funds, specifically failing to provide an accurate balance of monies received and disbursed for 3 of 5 sampled residents. Investigations revealed that pharmacy payments collected in cash were not properly receipted or attributed to individual residents, and the facility's trust log failed to reflect actual balances.

The facility failed to administer medications as ordered for one resident, specifically regarding atorvastatin and vitamin D3. Documentation showed multiple missed doses in October 2023 due to claims of waiting for pharmacy refills, despite pharmacy records confirming sufficient medication was available at the facility.

The facility failed to administer medications as ordered for one resident, specifically regarding atorvastatin and a vitamin supplement. Records showed multiple dates in October 2023 where the medication was not administered due to pharmacy refill delays.

The facility failed to ensure that one of three medication aides completed the required 5, 10, or 15-hour medication aide training within 60 days of hire. While the staff member had passed a written exam and completed a clinical skills checklist, there was no documentation of the required training hours in their personnel record.

The facility failed to ensure proper health care referral and follow-up for three sampled residents. Specifically, the facility did not facilitate ordered physical therapy for Resident #3, lab work and pain center follow-up for Resident #2, or an ophthalmology appointment for Resident #1.

The facility failed to ensure that one of three medication aides completed the required 5, 10, or 15-hour medication aide training within 60 days of hire. Personnel records showed no documentation of the required training for Staff A, despite the staff member administering medications to residents.