Shuler Health Care/pierce Villa

The facility failed to provide residents with non-disposable place settings during meal service, specifically using Styrofoam cups for water. Observations and resident interviews confirmed that paper or disposable cups were being used instead of the required non-disposable beverage containers. Staff indicated this was occurring to prevent residents from taking non-disposable cups back to their rooms.

The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily. Review of the daily menu and meal observations confirmed that no milk or dairy products were offered or served to residents during lunch.

The facility failed to provide residents with non-disposable place settings during meal service. Observations showed residents were served water in Styrofoam cups despite a supply of non-disposable cups being available in the kitchen.

The facility failed to ensure that one of three sampled staff members was tested for tuberculosis disease upon hire. Specifically, documentation for a staff member's TB skin test was incomplete, lacking the date the test was placed, and the facility's tracking flow sheet contained incorrect information regarding the completion of the test.

The facility failed to ensure that medications prepared in advance were kept in sealed containers that identified the name and strength of each medication and the resident's name. This deficiency was observed for three residents during the morning medication pass and one sampled resident.