Tara Plantation of Carthage

The facility failed to notify the local county Department of Social Services within 48 hours of certain incidents. Specifically, for 3 out of 6 sampled residents, falls resulting in injuries requiring medical intervention beyond first aid were not reported to DSS in the required timeframe.

The facility failed to notify the local county Department of Social Services within 48 hours of incidents for several residents. Specifically, 3 out of 6 sampled residents who experienced falls resulting in injuries requiring medical treatment at an emergency department were not reported in a timely manner.

The facility failed to ensure medications were administered as ordered for 3 of 7 residents observed during medication passes. This resulted in a 20% medication error rate, including errors involving an inhaler, topical gel, insulin, and digestive medication.

The facility failed to ensure medications were administered as ordered for 3 of 7 residents observed during a medication pass. Specifically, a medication aide failed to properly prime a new Symbicort inhaler, did not wait between puffs, and failed to instruct the resident to rinse their mouth. This resulted in a medication error rate of 20% during the observed medication passes.

The facility failed to ensure prompt notification to the primary care provider and referral for emergency room evaluation for a resident found with three schedule II opioid patches on his body. This occurred despite orders to apply one patch every three days and remove the old patch.

The facility failed to ensure prompt notification to the primary care provider and referral for emergency room evaluation for a resident found with three schedule II opioid patches on his body. The resident was experiencing symptoms of an overdose, including low blood pressure and lethargy, following the failure to remove old patches as ordered.

The facility failed to maintain the assisted living oxygen storage room in a safe and orderly manner. Specifically, three oxygen canisters were found unsecured and not placed in racks, including one large canister that lacked an appropriate rack.

The facility failed to provide matching therapeutic diet menus for residents with physician-ordered dietary needs. A review of four residents showed orders for NAS, ground meat, and consistent carbohydrate diets, but the facility's menu cycle only included a regular diet with no therapeutic options.

The facility failed to maintain the assisted living oxygen storage room in an uncluttered and hazard-free manner. Specifically, three oxygen canisters, including one large five-foot tall canister, were found unsecured and not placed in racks. Staff interviews confirmed that the larger canister lacked an appropriate rack and that responsibility for oxygen storage was not being consistently managed.