Soundview Family Care Homes Unit F

The facility failed to ensure necessary follow-up care for a resident following a hospitalization for COPD exacerbation. Specifically, the facility did not facilitate a required follow-up appointment with a pulmonologist, resulting in the resident missing scheduled medical care.

The facility failed to notify the mental health provider and primary care provider for a resident following two incidents of physical aggression. During one incident, a resident physically assaulted a staff member, resulting in a broken door to the medication room.

The facility failed to notify the mental health provider and primary care provider (PCP) for Resident #3 regarding two separate incidents of physical aggression. This failure occurred despite the resident's diagnoses of schizoaffective disorder, autism, and substance abuse disorder, which require coordinated care for health needs.

The facility failed to notify prescribing practitioners of missed medication doses for two residents. Specifically, one resident did not receive Emgality injections for several months despite having the medication on hand, and another resident missed doses for treating neuropathy and involuntary movements.

The facility failed to notify the prescribing practitioner regarding missed doses of medication for two residents. Specifically, for Resident #1, the facility failed to notify the Neurologist that Emgality injections had not been administered since September 2022, despite having multiple unopened doses in storage.

The facility failed to ensure that one of two sampled medication aides had completed the state-mandated annual infection control training. Personnel records lacked documentation of this training, and management could not verify completion at the time of the survey.

The facility failed to ensure that one of two sampled medication aides had completed the state-mandated annual infection control training. Personnel records showed no documentation of training completion for the staff member, and management could not verify training status because records were stored at a different facility.

The facility failed to obtain physician clarification regarding a medication order for furosemide for one resident. While the resident's record indicated an order for 40mg daily, the medication on hand was 20mg daily, reflecting a dosage change made at a previous facility that was not properly verified or documented.