Riverside Village Homes #1

The facility failed to provide adequate supervision for a resident, allowing them to walk off the facility grounds onto a neighbor's private property. This lack of supervision resulted in the resident being observed smoking in an area where a brush fire subsequently occurred. The resident's care plan and history of disorientation and wandering were not being effectively managed to prevent unauthorized exits.

The facility failed to provide adequate supervision for a resident, allowing them to walk off the facility grounds onto neighboring private property. This lack of supervision resulted in the resident being observed smoking in an area where a brush fire occurred. The resident's care plan lacked documentation regarding necessary supervision measures.

The facility failed to notify the ophthalmologist regarding a resident's refusal of eye drops related to eye pain. Records showed frequent medication refusals for prednisolone acetate 1% over several months, and an undated, unlabeled, partially used bottle of the medication was found during the survey.

The facility failed to notify the ophthalmologist for a resident regarding eye drop refusals related to eye pain. Additionally, the facility was found to have an undated, unlabeled, and partially used bottle of prednisolone acetate 1% that had expired. The medication administration records also showed frequent refusals of prescribed eye drops over several months.

The facility failed to ensure that a resident's Lidoderm patches were self-administered in compliance with physician orders. Specifically, the resident was wearing a patch during the day despite orders to apply them in the morning and remove them at night, and the medication usage rate indicated a significant discrepancy in administration frequency.