The Landings of Smithfield

The facility failed to maintain an environment free of hazards on the Special Care Unit (SCU). Specifically, a disposable razor and a container of disinfecting wipes with a warning label were found accessible to residents in bathrooms. These items posed a risk of accidental ingestion or harm, violating the requirement to keep the facility uncluttered and free of obstructions.

The facility failed to maintain an environment free of hazards on the Special Care Unit (SCU). Specifically, a disposable razor and a container of disinfecting wipes with a warning label were found accessible to residents in their rooms. These items posed a risk of accidental ingestion or harm to residents.

The facility failed to maintain hot water temperatures at resident-accessible fixtures in the Special Care Unit (SCU) within the required range of 100 to 116 degrees Fahrenheit. Specifically, four sampled fixtures were found to have temperatures ranging from 94 to 131 degrees Fahrenheit. This included instances of water being too cold (96 degrees F) and dangerously hot (up to 131 degrees F), posing a burn risk to residents and staff.

The facility failed to maintain hot water temperatures at resident-accessible fixtures in the Special Care Unit (SCU) within the required range of 100 to 116 degrees Fahrenheit. Observed temperatures ranged from 94 to 131 degrees Fahrenheit, including a sink in the day room measured at 96 degrees F and a bathroom sink in room 601 measured at 116 degrees F.

The facility failed to maintain an environment free of hazards in the special care unit (SCU). Specifically, personal care products and cleaning products, including acetone nail polish remover and gel nail polish, were left accessible to residents on bathroom shelves in room 502.

The facility failed to ensure that a resident's electrically operated call bell could be activated with a single action and remain on until deactivated by staff. Specifically, a resident's call bell was non-functional, requiring the use of tied strings to reach the bathroom, and the external call light failed to illuminate properly upon activation.

The facility failed to ensure that a resident had a functional, electrically operated call bell within reach of their bed. Specifically, Resident #7's call bell was non-functional for several months, requiring the use of tied-together strings to reach from the bathroom to a recliner. This failure prevented the resident from easily activating the system with a single action as required by regulation.

The facility failed to ensure that 5 of 5 sampled medication aides completed the required state-approved 5, 10, or 15-hour training program. Additionally, one medication aide (Staff B) had not passed the required written medication aide examination within 60 days of completing their clinical skills checklist.