The Reserve at Mills Farm

The facility failed to ensure that one of three personal care aides had been competency validated for licensed health professional support tasks. Specifically, the staff member had not demonstrated competence through return demonstration for applying and removing bandages.

The facility failed to ensure that one of three personal care aides had been competency validated for licensed health professional support tasks. Specifically, the staff member had not undergone return demonstration for tasks including applying and removing bandages.

The facility failed to ensure proper wound care for a resident, resulting in a large, moist, and foul-smelling stain on the resident's gown and bedding. A personal care aide was performing dressing changes without having received proper training or competency validation for the procedure.

The facility failed to maintain hot water temperatures within the required range of 100°F to 116°F. Specifically, three water fixtures were found to exceed the maximum temperature, including sinks in two public bathrooms and a resident's bathroom. Maintenance logs also failed to reflect these temperature excursions.

The facility failed to maintain hot water temperatures within the required range of 100-116 degrees Fahrenheit. Specifically, water temperatures were found to be as high as 140.7°F in two public bathrooms and 119.8°F in a resident's bathroom.

The facility failed to provide supervision of residents in accordance with each resident's assessed needs, care plan, and current symptoms. This was identified as a Type A2 violation.

The facility failed to ensure physician orders were implemented for a resident requiring weekly blood pressure checks. Record reviews showed only one blood pressure entry for July, August, and September 2022. Staff and administration were unaware of the specific order and failed to use the facility's tracking system to ensure compliance.