Terrabella Salisbury

The facility failed to administer medications as ordered for one resident who had orders for levothyroxine sodium and a cholesterol-lowering medication. Specifically, there was no entry or documentation in the electronic medication administration record (eMAR) for the levothyroxine, and the medication was not available on hand for administration.

The facility failed to administer medications as ordered for one resident. Specifically, a new order for levothyroxine sodium dated 06/12/25 was not documented in the electronic medication record, and the medication was not available for administration during observation.

The facility failed to maintain a resident room and bathroom on the D Hall in a clean condition. Multiple observations over three consecutive days revealed paper debris, floor stains, crumbs, and unclean shower and toilet surfaces. Resident interviews confirmed that the room had not been cleaned for several days following the departure of the housekeeper.

The facility failed to ensure that one sampled resident was tested for tuberculosis disease upon admission. A review of the resident's record showed no documentation of a TB skin test at admission or a second skin test.

The facility failed to ensure that one of five sampled residents was tested for tuberculosis disease upon admission. Specifically, there was no documentation of a TB skin test or a second step for Resident #3, despite the resident having been admitted in November 2020.

The facility failed to assure necessary follow-up to meet the routine and acute health care needs of residents. (Note: While the regulation is cited, the provided text truncates before the specific finding for this tag is detailed).

The facility failed to ensure follow-up with health care providers for a resident regarding anti-coagulant medication and scheduled INR lab work. Specifically, the facility did not properly implement a physician's order to increase warfarin dosage following an abnormal lab result, leading to a medication deficit. This failure resulted in the resident's INR levels remaining outside the target therapeutic range.

The facility failed to ensure follow-up with health care providers for a resident regarding anti-coagulant medication and scheduled INR lab work. Specifically, the facility did not notify the physician of a missed lab collection and failed to report a medication refusal that resulted in a deviation from the prescribed warfarin dosage.