The Stratford

The facility failed to ensure proper referral and follow-up for a resident who sustained a fractured arm. An injury occurring on 5/22/25 was not reported to the physician or emergency services until 5/24/25, resulting in a delay in medical evaluation and treatment.

The facility failed to ensure proper referral and follow-up for a resident who sustained a fractured left humerus bone. Although the injury occurred on 5/22/25, the facility did not notify the resident's Primary Care Provider of the incident until after the resident was hospitalized, and the resident's physician was unaware of the injury until receiving a discharge summary.

The facility failed to ensure that Resident #2 had completed tuberculosis (TB) testing upon admission. Review of records showed no documentation of a negative or positive TB skin test, and staff were unable to provide the required testing documentation.

The facility failed to ensure that Resident #1 had a current FL2 medical examination completed annually. This indicates a failure to maintain required medical examinations within the mandated timeframe for all residents.

The facility failed to ensure that one of five sampled residents had completed required tuberculosis (TB) testing upon admission. Specifically, documentation for Resident #2 showed no record of a negative or positive TB skin test despite an admission date of 11/25/24.

The facility failed to ensure proper referral and follow-up to meet the healthcare needs of a resident. Specifically, the facility failed to apply prescribed TED compression hoses for several days in June and July 2024 due to pharmacy delivery delays and lack of foot measurements. Additionally, there was no documentation that the resident's primary care provider was notified of the failure to follow the physician's orders.

The facility failed to ensure referral and follow-up to meet the healthcare needs for one resident regarding prescribed TED compression hoses. Documentation showed the resident did not receive the ordered compression therapy for multiple days in June and July 2024, and there was no evidence that the primary care provider was notified of these missed treatments.

The facility failed to maintain a clean environment free of hazards related to roaches. Observations revealed live and dead roaches in resident rooms, a laundry room, and a conference room, as well as a lack of an effective pest control log book to communicate sightings to the exterminator.

The facility failed to maintain a safe and clean environment free of hazards due to a cockroach infestation. A local health department inspection previously identified baby and teenage roaches in the laundry room and resident rooms 103 and 301. Additionally, pest control service reports indicated ongoing issues with ants and roaches without adequate documentation of effective control measures.