The Canterbury House

The facility failed to ensure that written discharge notices were hand-delivered or sent via certified mail to the responsible party or legal representative for one of two sampled residents prior to discharge. Additionally, the facility's discharge and transfer policy lacked a process for providing the required 30-day notice and appeal rights.

The facility failed to meet the requirements for written notice before discharging a resident. Specifically, the facility did not ensure that the Adult Care Home Notice of Discharge and Hearing Request Form were completed and delivered with the required information and receipt requested.

The facility failed to ensure that two out of five sampled medication aides (Staff D and Staff E) completed the required 5-hour, 10-hour, or 15-hour training and the Medication Skills Competency Validation prior to administering medications. Personnel records lacked documentation for training courses, competency checklists, and employment verification for these staff members.

The facility failed to ensure that 2 of 5 sampled medication aides completed the required 5-hour, 10-hour, or 15-hour training and medication skills competency validation prior to administering medications. Personnel records for Staff D and Staff E lacked documentation of completed training courses, competency validation checklists, and employment verification forms.

The facility failed to administer medications as ordered for one resident. Specifically, the resident's medication for bone health, alendronate 70mg, was not administered according to the prescribed weekly schedule despite being documented as administered on the eMAR.

The facility failed to administer medications as ordered for one resident regarding a medication for bone health. Specifically, alendronate 70mg was not administered on the scheduled Friday dates during May and June 2023, resulting in extra medication remaining in the resident's medication card.

The facility failed to ensure proper referral and follow-up for a resident's acute health care needs. Specifically, the facility did not ensure a resident with type 2 diabetes received the ordered endocrinology appointment, as the resident had not seen a specialist in one to two years despite a physician's referral order.

The facility failed to ensure necessary referral and follow-up for a resident's health care needs. Specifically, the facility did not schedule a requested endocrinologist appointment for a resident with type 2 diabetes, despite receiving a physician's order for the referral in November 2021.