Twinkle-Star Home Services 2

The facility failed to ensure a Resident Register was maintained. Based on interviews and record reviews, the facility failed to ensure a Resident Register was in place.

The facility failed to ensure a Resident Register was completed and signed for 2 of 2 residents. This includes failure to complete the initial assessment within 72 hours of admission as required by regulation.

The facility failed to ensure that two of three sampled staff members had completed the required state-approved medication aide training courses and the Medication Administration Competency Validation Clinical Skills Checklist.

The facility failed to ensure that 2 of 3 sampled staff members who administered medications had completed the required state-approved medication aide training courses and the Medication Administration Competency Validation Clinical Skills Checklist. Specifically, for one staff member, there was no documentation that they passed the required MA written exam or that an MA employment verification form was on file.

The facility failed to ensure that two of three sampled residents were tested for Tuberculosis disease in compliance with required guidelines. Specifically, one resident lacked a second-step TB test after admission, and another resident did not complete both the first and second-step TB tests.

The facility failed to ensure a Resident Register was completed and signed within 72 hours of admission for two of the three residents sampled. For Resident #2, the record review revealed that no Resident Register existed despite an admission date of 09/23/22.

The facility failed to ensure that 2 of 3 sampled residents were tested for Tuberculosis (TB) disease in compliance with required guidelines. Specifically, one resident lacked documentation of a second-step TB test after admission, and another resident had no documentation of either a first or second-step TB test or a chest x-ray.

The facility failed to ensure one of three sampled staff members had a completed statewide criminal background check. While a fingerprint card existed, there was no documentation of a signed consent for the background check or proof that the statewide check was completed.

The facility failed to maintain accurate medication administration records (MAR) for one of three sampled residents. Specifically, there were multiple missing entries for prescribed Viberzi 100 mg tablets, and a physical count of the medication revealed a discrepancy between the bubble pack count and the administration records.

The facility failed to ensure that one of three sampled staff members had a completed statewide criminal background check upon hire. While a fingerprint card existed, there was no documentation of a signed consent or a completed background check for the staff member.

The facility failed to ensure that medication administration records (MAR) were accurate. Based on observations and reviews, the records did not meet the required standards for accuracy.