The Landings of Rockingham

The facility failed to maintain residents' rights by not providing meal services within the posted scheduled times. During lunch service, residents were observed waiting past the scheduled window, with some tables not being served until 12:40pm despite a 12:00pm start time.

The facility failed to ensure residents were treated with dignity and respect regarding meal service times. Observations and interviews revealed that residents were frequently served well outside of the posted meal schedule, with some waiting up to 45 minutes. This delay resulted in some residents being served after others had already finished and left the dining room.

The facility failed to administer medications as ordered for two residents. Specifically, one resident did not receive prescribed doxycycline and aspirin during the morning medication pass, and another resident's allergy medication was not properly managed during record review.

The facility failed to administer medications as ordered, specifically failing to provide an antibiotic and aspirin to one resident. During a medication pass, the medication aide administered nine medications but omitted the prescribed doxycycline. Additionally, the required medication was missing from the multidose bubble packages despite being documented as administered in the eMAR.

The facility failed to ensure a resident requiring assistance with bathing was free from neglect, as the resident was found deceased in an unsecured Spa Room bathtub. Despite the resident's care plan requiring assistance, staff allowed the resident to access the spa room unattended. The facility lacked adequate safety measures or monitoring to prevent the resident from bathing independently.

The facility failed to ensure a resident was free from neglect, resulting in the resident being found deceased in an unsecured spa room bathtub. Despite the resident's documented need for assistance with bathing and a history of bathing without staff knowledge, the facility failed to implement effective safety measures to prevent unsupervised bathing.

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, a medication aide administered quetiapine 25mg despite a physician's order to discontinue that dosage and switch to an extended-release version.

The facility failed to ensure medications were administered as ordered by a licensed prescribing practitioner. Specifically, a resident continued to receive quetiapine 25mg twice daily for 10 days after the order had been discontinued and replaced with quetiapine XR 150mg. The error occurred because the discontinued medication was not properly identified or removed from the weekly medication bubble pack.