Safe Haven #2

The facility failed to provide documentation for three unannounced fire drills conducted quarterly on all shifts. Additionally, during an observation, one resident failed to evacuate the facility during a fire drill, and there was no fire safety inspection report available for review.

The facility failed to notify the Division of Health Service Regulation (DHSR) regarding a change in the evacuation capabilities of its residents. Specifically, one of the six residents did not respond to a fire drill, indicating their evacuation capability differs from the ambulatory status listed on the facility's license.

The facility failed to notify the Division of Health Service Regulation (DHSR) that a resident's evacuation capabilities had changed. Specifically, Resident #1 did not respond to a fire alarm during the survey, indicating a change from the ambulatory status listed on the facility's license.

The facility failed to ensure a Resident Register was completed and signed within 72 hours of admission for one of the three sampled residents. A review of Resident #3's records showed no Resident Register was available in the resident's file.

The facility failed to ensure a Resident Register was completed and signed within 72 hours of admission for one resident. While the resident was admitted in 2016, the Administrator could not locate the required documentation, suggesting it may have been misplaced.

The facility failed to ensure medications were administered as ordered by the Primary Care Provider for one of three sampled residents. Specifically, errors were identified regarding the obtaining of finger stick blood sugars and the administration of sliding scale insulin.

The facility failed to ensure medications were administered according to the orders of the Primary Care Provider for one resident. Specifically, there were errors regarding the administration of sliding scale insulin and the performance of finger stick blood sugar (FSBS) checks. The resident's record contained an insulin order with no defined parameters for the sliding scale.