Spicewood Cottages Meadows

The facility failed to obtain quarterly pharmaceutical care services from a licensed pharmacist or prescribing practitioner for all sampled residents. Specifically, there was no documentation of quarterly pharmacy reviews completed for three sampled residents since their respective admission dates. The Resident Care Coordinator confirmed that no pharmacy reviews had been completed for any residents since the facility opened in 2023.

The facility failed to obtain services from a licensed pharmacist or prescribing practitioner for quarterly pharmaceutical care for 3 of 3 sampled residents. Specifically, for Resident #1, there was no documentation of quarterly pharmacy reviews completed since their admission on 12/03/24.

The facility failed to ensure at least one staff person was present on the premises with valid CPR certification during 3rd shift for 5 separate shifts between 12/01/23 and 12/18/23. Specifically, a dietary aide working the 10:30pm to 6:00am shift was found to be the sole staff member present on several dates without documented CPR training.

The facility failed to ensure at least one staff person on the premises at all times was CPR certified. Specifically, on 5 of 18 shifts between 12/01/23 and 12/18/23, the 3rd shift staff member present was not CPR certified.

The facility failed to maintain accurate medication administration records (MAR) as required by regulation. The provided text indicates the rule was not met, though the specific evidence of the error was truncated in the document.