Rising Hope Health Care Services

The facility failed to ensure medications were administered as ordered for one resident regarding a vitamin B12 supplement. While the medication administration record showed the supplement was being given daily, an observation revealed that 90 tablets remained from a November 2023 supply, and there was no other supply available to continue administration. The facility's medication aide could not explain why the existing supply had not been depleted.

The facility failed to ensure medications were administered as ordered for one resident regarding a vitamin B12 supplement. While the medication administration record showed daily administration, an on-site observation revealed that the quantity of tablets remaining in the bottle was inconsistent with the documented usage. Specifically, 90 tablets remained from a supply dispensed in November 2023, indicating the medication was not being administered as prescribed.

The facility failed to notify the Division of Health Service Regulation that a resident's evacuation capabilities had changed. Specifically, Resident #3 was observed to have limited mobility in a wheelchair, which differs from the facility's licensed capacity of 6 ambulatory residents.

The facility failed to notify the Division of Health Service Regulation (DHSR) regarding changes in resident evacuation capabilities. Specifically, one resident was identified as having different evacuation needs than those listed on the facility's license after failing to exit the facility during a fire drill.

The facility failed to ensure that 2 out of 3 sampled residents had completed tuberculosis testing in compliance with required control measures. Specifically, documentation for Resident #2 showed a skin test was administered but lacked documentation of the required second step.

The facility failed to maintain complete resident records, specifically lacking resident registers for two residents. The facility has since added the necessary registers to the records.

The facility failed to ensure that a physician's self-administration order was properly documented in the resident's record. The physician has since provided the order and it has been placed in the record.

The facility failed to ensure that one of three sampled residents had completed a tuberculosis (TB) skin test upon admission. Documentation for Resident #2's TB skin test was missing from the medical record, and the administrator could not locate the required testing results.

The facility failed to develop resident care plans within 30 days of admission and failed to revise them annually for 3 out of 3 sampled residents. Specifically, assessments and care plans for Resident #1 and Resident #2 were completed significantly late following their admissions and were not updated for the year 2016.