The Sanctuary at Stonehaven

The facility failed to ensure at least one staff member on the premises had completed a current course on CPR and choking management. Specifically, one sampled staff member was working alone during shifts with an expired CPR certification.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for one of three sampled residents. The deficiency involved an issue regarding the availability of a specific supplement (Turmeric) ordered for a resident.

The facility failed to ensure that at least one staff member on the premises had completed CPR and choking management training within the last 24 months. Specifically, one sampled staff member's CPR certification had expired in February 2021, and there was no documentation of recertification. During certain shifts, this staff member was the only person present in the facility.

The facility failed to ensure that non-prescription medications were properly labeled with the resident's name. Specifically, several containers of barrier cream and antifungal cream in a resident's bathroom were found without the resident's name or instructions on the labels.

The facility failed to ensure the resident's medication administration record (MAR) was accurate regarding changes to medication orders. There was a lack of clarity and documentation regarding a discontinuation order for Hydrocodone/Acetaminophen.

The facility failed to ensure non-prescription medications were labeled with the resident's name. Specifically, multiple containers of barrier cream and antifungal cream for Resident #1 were found on a bathroom counter without the resident's name or instructions.

The facility failed to implement physician orders for blood pressure checks for one resident. While an order existed for daily and as-needed blood pressure monitoring, there were no entries or documentation of these checks in the electronic Medication Administration Record (eMAR) from 06/08/18 to 06/30/18.

The facility failed to implement physician orders for blood pressure checks for a resident. Specifically, there were no blood pressure entries documented on the electronic Medication Administration Record (eMAR) for Resident #2 from June 8, 2018, to June 30, 2018, despite an order for daily checks.