Tore's Home #3

The facility failed to clarify a medication order for 1 of 3 sampled residents regarding lisinopril. While the resident's order specified 10mg daily, the facility was actually administering 2.5mg tablets that the resident brought from home.

The facility failed to ensure that the administration of medications was in accordance with the orders by a licensed prescribing practitioner. Specifically, the resident was receiving an incorrect dosage of lisinopril compared to the physician's prescribed order.

The facility failed to verify or clarify a medication order for Resident #2 regarding lisinopril. While the physician's order specified 10mg daily, the medication on hand was only 2.5mg, a discrepancy that was not identified or corrected by the Supervisor-in-Charge during medication audits.

The facility failed to maintain menus in the kitchen that were properly identified by current menu day and cycle. Observations revealed undated, unofficial meal instructions and an outdated week-at-a-glance menu posted on the refrigerator. Interviews confirmed that the posted instructions were not official menus and lacked dietitian approval.

The facility failed to ensure that one of three sampled medication aides (Staff C) completed the required 10 or 15-hour state-approved medication aide training and the medication aide exam within 60 days of hire. Records showed the staff member had completed only the initial 5-hour training and clinical skills checklist, but lacked documentation for the subsequent required training and examination.

The facility failed to ensure that one of three sampled medication aides completed the required 10 or 15-hour state-approved training and the medication aide exam within 60 days of hire. Specifically, records for Staff C showed completion of initial 5-hour training but lacked documentation for the subsequent advanced training and the required examination.

The facility failed to develop an activities program designed to promote resident involvement with each other, families, and the community. An inspection of the activity calendar revealed inaccurate dates and a lack of scheduled activities, while resident interviews indicated that residents were unaware of the program or any scheduled outings.

The facility failed to maintain hot water temperatures in the sinks of 6 out of 6 individual resident bathrooms within the required range of 100 to 116 degrees Fahrenheit. Observations and temperature logs revealed temperatures as high as 126 degrees Fahrenheit. Additionally, staff failed to notify management of these out-of-range temperatures despite recording them in the facility log.

The facility failed to maintain hot water temperatures in resident bathroom sinks between 100 and 116 degrees Fahrenheit. Observations and water temperature logs revealed temperatures as high as 126 degrees Fahrenheit in several resident rooms.