The Gardens of Rose Hill

The facility failed to ensure quarterly licensed health professional support (LHPS) evaluations were completed for a resident requiring finger stick blood sugar samples, dressing changes, and medication administration via injections. Specifically, the facility did not meet requirements for the periodic review of the resident's health status and care plan by a registered nurse or other licensed professional.

The facility failed to ensure quarterly licensed health professional support (LHPS) evaluations were completed for a resident requiring finger stick blood sugar samples and medication administration via injections. Specifically, the resident required wound care and insulin administration, but the required professional assessments were not documented as completed within the required timeframe.

The facility failed to administer medications as ordered for one resident, specifically regarding topical pain medications. Medication aides applied Icy Hot patches to the resident's knees instead of the ordered hip and knee, and failed to follow the required daily removal schedule. Additionally, there was no documentation in the eMAR for a scheduled dose of diclofenac cream.

The facility failed to administer medications as ordered by the primary care provider for one resident. Specifically, during a medication pass, the medication aide failed to follow instructions for applying topical pain medications, resulting in a 7% medication error rate.

The facility failed to protect food from contamination and maintain cleanliness in the kitchen and food storage areas. Specific issues included rusty refrigerator shelves, undated food items, and improper storage of meats and produce. Additionally, the gas oven was found with greasy residue, blackened areas, and food debris.

The facility failed to maintain clean and orderly kitchen and food storage areas, as evidenced by rusty refrigerator shelves and greasy, dirty oven components. Additionally, several food items, including meats, cheeses, and vegetables, were stored in opened, undated containers. The freezer unit also showed signs of improper maintenance, including condensation leaks and ice buildup.