Tre' More Manor Alf

The facility failed to ensure medications were administered as ordered for one resident. Specifically, a medication aide was using a 30mg bottle of Mirtazapine to administer 15mg doses to Resident #1 by using leftover medication from Resident #2, rather than following the specific physician's orders and pharmacy-dispensed amounts for the resident.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, while physician orders required Mirtazapine 15mg at bedtime, the medication on hand was labeled as 30mg, and discrepancies were noted between the electronic administration records and the actual medication supply.

The facility failed to ensure that one of three sampled staff members was tested for tuberculosis disease upon hire. Personnel records for a personal care aide showed no documentation of a completed TB skin test, and the administrator lacked the necessary testing solution to perform tests for new employees until March 22, 2022.

The provided text is truncated and does not contain the specific findings for this deficiency, though it identifies the regulatory requirement for resident tuberculosis testing upon admission.

The facility failed to ensure that physical restraints were used only after an assessment and care planning process was completed and alternatives were tried and documented. For one sampled resident, full bed rails were in use without a physician's order, documented assessment, or documented use of alternatives. The resident's record lacked evidence of care planning or the implementation of less restrictive measures to prevent falls.

The facility failed to ensure that physical restraints were used only after an assessment, care, and team planning process had been completed. Specifically, for one sampled resident, full bed rails were attached to both sides of the bed without evidence that alternatives were tried and documented.

The facility failed to maintain walls, ceilings, and floors in a clean and good repair. Specifically, four resident bathrooms and a hallway ventilation fan showed evidence of rust, discolored/cracked light switch plates, and dusty residue. Observations included stained caulking, rusted dispensers, and damaged wall tiles in the A Hall bathrooms.

The facility failed to keep resident bathrooms and a hallway ventilation fan clean and in good repair. Specific issues included rust on heat registers and dispensers, cracked light switch plates, discolored caulking, and dusty residue on a ventilation fan.