Riverside Village Homes #7

The facility failed to maintain clean walls, ceilings, and floors in several areas, including resident room #6, common bathrooms, the hallway, living room, laundry room, and kitchen. Specific observations included soap scum, brown dust, and fecal splatters on toilets and sinks in bathrooms #1, #2, and #3. Additionally, floors were found to be dirty, sticky, or covered in debris in multiple common areas.

The facility failed to maintain a clean and hazard-free environment. Specifically, Resident #4's room contained soiled linens, an unpleasant urine odor, and a mattress that was wet, soiled, and lacked a protective cover. Additionally, an uncovered electrical outlet and trash accumulation were noted.

The facility failed to confirm that Resident #2, who is insulin-dependent, had capillary blood glucose levels completed consistently as ordered by the physician. Documentation reviews of the Medication Administration Record (MAR) showed that blood glucose levels were not recorded for most of June and July 2016.

The facility failed to perform and document ordered blood pressures for three reviewed residents (Resident #1, #2, and #3). This failure indicates a lack of adherence to physician-ordered clinical monitoring and documentation requirements.

The facility failed to follow physician orders regarding resident care. Specifically, the facility did not consistently perform and document capillary blood glucose levels for a resident with insulin-dependent diabetes as ordered, and failed to document ordered blood pressures for three reviewed residents.

The facility failed to evaluate and ensure the mental and physical ability of a resident to self-administer medications. Specifically, Resident #2 had physician orders for self-administration of Levemir, Novolog, and Humalog insulins, but the facility did not document the required competency assessment.

The facility failed to evaluate and assure the mental and physical ability of one resident (Resident #2) to self-administer medications. Although the resident had physician orders to self-administer insulin and perform finger stick blood sugar testing, the facility had not completed the required self-administration evaluation.

The facility failed to complete resident assessments within 30 days of admission and annually for three residents. Specifically, for Resident #1, the care plan lacked a physician's signature and did not include required activities of daily living (ADLs).

The facility failed to ensure that resident assessments were completed within 30 days of admission and annually thereafter. For three residents, the facility lacked care plans signed by a physician and failed to include necessary activities of daily living (ADLs) in the documentation.