Stoney Creek Family Care Home

The facility failed to clarify medication orders with the resident's physician regarding medications used to treat an underactive thyroid and constipation. Although the resident was being administered levothyroxine, the resident's FL2 form had not been updated to include this medication despite multiple pharmacist recommendations to do so.

The facility failed to clarify medication orders with a physician for one resident regarding medications used to treat an underactive thyroid. Although the resident's medication administration records showed levothyroxine was being administered, the resident's FL2 form had not been updated to include this medication despite multiple pharmacist recommendations to do so.

The facility failed to notify the Division of Health Service Regulation (DHSR) regarding changes in residents' evacuation capabilities. Specifically, for 5 out of 5 sampled residents, the evacuation capabilities differed from those listed on the facility's license.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, the facility did not document the required blood pressure check prior to administering propranolol, despite an order to hold the dose if systolic blood pressure was below 100.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, there was no documentation on the medication administration record (MAR) for a required blood pressure check and the administration of propranolol on 08/03/23, despite the resident receiving the medication.

The facility failed to ensure a resident referral for an orthopedic consultation was properly managed and followed up. Specifically, the facility did not maintain current contact information, causing an orthopedic office's attempts to schedule an appointment via telephone and mail to fail. As a result, the resident did not receive the necessary specialist care for documented spinal pain.

The facility failed to ensure that 2 out of 3 sampled residents had completed required tuberculosis (TB) testing upon admission. Specifically, documentation for follow-up TB skin tests was missing for Resident #2 and Resident #3.

The facility failed to ensure that licensed health professional support (LHPS) evaluations were completed quarterly for two residents. Specifically, for Resident #1, there was no quarterly review conducted after 02/09/18 regarding tasks such as collecting finger stick blood sugars and medication administration through injection.