Weaver's Pineview Home

The facility failed to conduct fire drills on each shift and failed to maintain detailed records. Specifically, the fire drill logs lacked descriptions of the drills and did not list the names of participating staff members.

The provided text cuts off before detailing the specific deficiency for this regulation, though it introduces the requirement for clarifying insufficient medical examination information.

The facility failed to provide documentation containing a short description of what fire drill rehearsals involved. While fire drills were recorded, the logs lacked the required descriptive details of the rehearsal activities as mandated by regulation.

The facility failed to provide documentation containing the required descriptions of what fire drill rehearsals involved. While drills were conducted, the logs lacked the necessary detail for the January and February 2024 rehearsals.

The facility failed to ensure food was stored, prepared, and served under sanitary conditions. Observations revealed unlabeled and uncovered food items in the refrigerator, including partially opened turkey legs, an uncovered can of soup, and uncovered flour.

The facility failed to ensure that fire drill logs included a description of the fire drill details and the staff members involved. A review of the logs showed columns for date, time, and head count, but no area to record the specific details of the drill or participating staff.

The facility failed to ensure food items were protected from contamination due to an ongoing vermin infestation. Observations revealed live and dead cockroaches, as well as cockroach excrement, in kitchen cabinets, on countertops, in the freezer door, and on the dining room table. An Environmental Health report also documented previous mouse droppings in kitchen cabinets.

The facility failed to ensure that the resident census did not exceed its licensed capacity. While licensed for six residents, the facility's actual occupancy exceeded the permitted limit.

The facility failed to contact a physician for clarification regarding an incomplete and unclear FL-2 medical examination form for one resident. This resulted in discrepancies between the physician's orders and the actual administration of Metformin, which was documented at inconsistent times on the Medication Administration Record.

The facility failed to follow proper procedures for keeping medications identified and protected from contamination when prepared in advance. Specifically, the facility lacked necessary controls for labeling and containing medications to ensure they remain identified up to the point of administration.