Teemed Family Care Home

The facility failed to provide necessary personal care to a resident regarding the trimming of toenails. Observations and interviews revealed that the resident's toenails had grown excessively long and were causing pain, and the facility manager had not performed the required nail trimming.

The facility failed to provide adequate personal care regarding nail hygiene for a resident. Specifically, a resident's toenails had not been trimmed for approximately three months, resulting in overgrown nails that were causing the resident physical pain and discomfort.

Staff failed to provide supervision and personal care in accordance with the resident's assessed needs and care plan. The facility failed to ensure that staff received comprehensive training on providing personal care and reviewing resident care plans.

The facility failed to document menu substitutions made to the plan provided by the registered dietitian. Staff were making changes to the planned meals without maintaining a substitution list or reference documentation.

The facility failed to ensure residents were offered snacks between each meal three times daily. Observations revealed that no snacks were offered or served during several periods on January 10 and January 14, 2020.

The facility failed to ensure that the required 14 hours of planned activities per week were made available to the residents. Record reviews and observations indicated the facility did not meet the minimum activity hour requirement.

The facility failed to ensure that menu substitutions were of equal nutritional value and properly documented. Specifically, the medication aide made substitutions to the planned menu without maintaining a substitution list or documentation to indicate what foods were actually served to residents.