Springview - Stewart Building

The facility failed to maintain a safe and orderly environment due to an unsecured oxygen tank in Room #3. The 3-foot tall tank was sitting upright on the floor without a rack or crate to stabilize it, creating a potential hazard.

The facility failed to maintain a safe and orderly environment due to an unsecured oxygen (O2) tank in resident room #3. The 3-foot tall tank was sitting upright on the floor without a rack or crate to stabilize it, posing a potential hazard to the resident.

The facility failed to document physician notification for a resident with specific blood pressure parameters. Specifically, the resident's medication administration records for November and December 2019 showed multiple instances of systolic blood pressure exceeding 120, but there was no documentation that the physician was notified as ordered.

The facility failed to notify the physician when a resident's blood pressure parameters met specific notification criteria. Specifically, for Resident #1, systolic blood pressure readings were documented above the 120 threshold on multiple occasions in November 2019, December 2019, and January 2020 without any documented physician notification.

The facility failed to ensure proper health care referral and follow-up for a resident exhibiting behaviors such as touching and moving others' belongings. While the facility had communicated with a psychiatric Nurse Practitioner previously, they failed to discuss the resident's ongoing behaviors with the medical Nurse Practitioner or the new psychiatrist.

The facility failed to ensure that a medication aide hired on 8/20/14 completed the required 5-hour and 10-hour medication aide training and instruction programs developed by the Department. While clinical skills competency and an examination were documented, there was no evidence of completion for the mandatory training courses.