Trinity Oaks Continuing Care Retirement Community

The facility failed to ensure that staff members were competency validated for Licensed Health Professional Support (LHPS) tasks. Specifically, record reviews showed that two out of three sampled staff members lacked documentation for performing tasks such as clean dressing changes and administering rectal suppositories.

The facility failed to ensure that two of three sampled staff members were competency validated for Licensed Health Professional Support (LHPS) tasks. Specifically, Staff A lacked documentation for competency in administering rectal suppositories, and Staff C lacked documentation for performing clean dressing changes and administering rectal suppositories.

The facility failed to ensure that non-licensed personnel and licensed personnel not practicing in their licensed capacity were competency validated via return demonstration for Licensed Health Professional Support (LHPS) tasks. Specifically, three sampled staff members were found to lack proper documentation for tasks such as catheter care, fingerstick blood sugar testing, and the use of CPAP and nebulizer machines.

The facility failed to ensure that three sampled staff members were competency validated via return demonstration for Licensed Health Professional Support (LHPS) tasks. Specifically, staff members lacked documented validation for tasks such as catheter care, fingerstick blood sugar testing, and the use of CPAP and nebulizer machines, despite performing these tasks in resident care.