Soundview II #32

The facility failed to ensure necessary medical follow-up and referrals for a resident. Specifically, the resident missed a required 6-month follow-up appointment with their primary care provider and a podiatrist, resulting in no PCP progress notes or lab results being recorded for over a year.

The facility failed to ensure necessary referral and follow-up care for a resident, resulting in a missed six-month follow-up with a primary care provider and a podiatrist. Specifically, the resident had not been seen by his PCP in over a year, putting him at risk of being dropped from a specialized medical program. The facility also failed to document medical appointment refusals or communicate effectively with the provider's office regarding the missed appointments.

The document indicates a regulatory requirement for using the Medication Administration Skills Validation Form to document successful clinical skills validation. However, the provided text snippet ends before detailing the specific deficiency found during the survey.

The facility failed to maintain a job description that reflects actual duties and responsibilities, signed by both the Administrator and the employee. Specifically, one sampled staff member's personnel file lacked a documented hire date and a signed job description for the current facility.

The facility failed to ensure that one of two sampled staff members received a two-step skin test for tuberculosis upon hire. While some negative skin test results were documented, there was no evidence of the required two-step testing protocol in the employee's personnel record.

The facility failed to ensure that one of two sampled staff members was properly screened for Tuberculosis upon hire. While a skin test was administered, there was no documentation confirming the test had been read or that the staff member was free of the disease.

The facility failed to maintain floors in good repair, with multiple instances of cracked, broken, or lifting floor tiles observed in resident rooms, the living room, the dining room, the main hallway, and the side entrance. The owner acknowledged awareness of the damaged tiles and noted that foundation settling contributes to the tiles loosening and cracking.

The facility failed to provide packed lunches for three residents who were out of the facility during lunchtime. This resulted in residents not receiving the required nutritionally adequate meals while away from the home.

The facility failed to keep floors in good repair in several areas, including resident rooms, the main hallway, living room, and dining room. Specific issues included floor tiles that were cracked, broken, or turning up at the edges.