Spring Arbor of Sand Hills

The facility failed to ensure that required notices of discharge and appeal rights were provided to the resident's responsible person as soon as practicable. Specifically, paperwork was delivered directly to a resident with cognitive impairment rather than their POA or Guardian.

The facility failed to maintain the rights of a sampled resident to be treated with respect, consideration, and dignity. Observations and reviews indicated the resident's rights were not being properly upheld.

The facility failed to ensure medication administration records were accurate for a sampled resident. Specifically, there was inaccurate documentation regarding the units of insulin administered per the physician's sliding scale order.

The facility failed to maintain the Special Care Unit (SCU) in a safe and orderly manner. Specifically, four portable oxygen cylinders were found unsecured on the floor in a resident's room, creating a potential hazard.

The facility failed to ensure the Special Care Unit was free from hazards, as evidenced by four portable oxygen cylinders left unsecured on the floor in a resident's room. Staff members, including the Resident Care Director and medication aide, were unaware of the unsecured cylinders or the proper policy for securing them.

Violation cited

The facility failed to obtain physician certification to ensure staff were competent to administer a subcutaneous anticoagulant. Specifically, for one resident, there was no documentation that staff were authorized and validated to perform the Enoxaparin injections as ordered.

The facility failed to obtain physician certification that staff were competent to administer a subcutaneous anticoagulant (Enoxaparin) as ordered for a resident. Medication aides were performing the injections using self-taught methods without receiving specialized training or skills validation. Additionally, the medication aides did not document the injection sites on the eMAR.

The facility failed to provide adequate supervision for a resident with Alzheimer's and dementia, which resulted in the resident eloping from the facility. An exit door was left disengaged by outside vendors, allowing the resident to wander onto a busy four-lane highway where they were eventually located by law enforcement.

The facility failed to provide adequate supervision for a resident with Alzheimer's and dementia, which led to the resident eloping from the facility. The resident was found walking near a busy four-lane highway by a bystander and local law enforcement without the facility's knowledge.