River Oak Assisted Living

The facility failed to ensure medications were administered as ordered for two residents. Specifically, for Resident #2, there was no documentation in the electronic medication administration record (eMAR) that the prescribed increase of Lasix from once daily to twice daily had been implemented as ordered by the physician.

The facility failed to ensure medications were administered as ordered for 2 of 5 sampled residents. Specifically, errors were identified regarding the administration of a diuretic used to treat excess fluid build up and an antibiotic used to prevent infection.

The facility failed to ensure that one of six sampled staff members was tested for tuberculosis disease upon hire. Personnel records for a medication aide showed no documentation of a TB skin test administered prior to employment or a second test administered after employment.

The facility failed to maintain operational exit door alarms, specifically for the door leading to the smoking area. This failure allowed a disoriented resident to elope from the building without staff knowledge, resulting in the resident being found at a nearby home the following day.

The facility failed to maintain operational exit door alarms, specifically noting that a back door leading to the smoking area did not alarm when opened. This failure resulted in a disoriented resident eloping from the building without staff knowledge.

The facility failed to maintain walls, ceilings, and floors in good repair. Specific issues included exposed pipes, missing bathroom stall doors, rusted sink brackets, and broken radiator casings in common bathrooms. Additionally, resident room #109 had a partially detached radiator and exposed television cables.