Shuler Health Care/storey Villa

The facility failed to ensure one of three sampled medication aides completed the required DHSR examination test within 60 days of hire. Records showed the staff member had completed training and clinical skills validation but had failed the required examination.

The facility failed to ensure medications were administered as ordered by a licensed practitioner for one resident. Specifically, medications packaged for evening administration were given at 1:20pm, and scheduled medications for pain and gas relief were not administered at the required time.

The facility failed to ensure that one of three sampled medication aides completed the required DHSR examination test within 60 days of hire. Records showed the staff member had completed training and skills validation but had not passed the required exam, and management was unaware of the 60-day deadline requirement.

The facility failed to ensure proper referral and follow-up for residents to meet health care needs. Specifically, for two sampled residents, the facility did not notify the primary care provider of high blood pressure readings as required by physician orders.

The facility failed to ensure appropriate follow-up for residents' acute health care needs. Specifically, for Resident #2, there was no documentation that the physician was notified of high blood pressure values that met the criteria for notification. Additionally, for Resident #1, medications (Lisinopril and Amlodipine) were administered despite blood pressure readings falling below the physician-ordered hold parameters.

The facility failed to administer medications as ordered for a resident with multiple insulin and other medication orders. This was a follow-up to a previous Type A2 violation that was not abated, involving failures to follow physician orders for insulin and other treatments.

The facility failed to ensure that medication aides met all training and examination requirements. Specifically, one staff member lacked documentation of passing the state written medication aide examination, and another failed to pass the examination within 60 days of hire.

The facility failed to ensure that two of three sampled medication aides met required qualifications. Specifically, Staff B lacked documentation of passing the state written examination, and Staff C lacked documentation of required previous employment verification and the 15-hour medication aide training.

The facility failed to ensure proper TB testing protocols upon hire for Staff A. While a TB skin test was administered, there was no documentation of the test being read, and the facility could not confirm the test was properly completed at the time of hire.