West Bladen Assisted Living

The facility failed to ensure food was stored safely and kept free from contamination. Specifically, food items including apple juice, sugar, bananas, and potato chips were stored directly on the floor in the dry storage room. Additionally, the walk-in freezer floors and walls were found to be dirty with debris and unidentified substances present.

The facility failed to ensure that water was served to each resident at each meal in addition to other beverages. Observations and interviews in the Assisted Living and Special Care Unit dining rooms revealed that while other beverages like juice, milk, and coffee were provided, water was either not offered or not served to residents during meal services.

The facility failed to administer medications as ordered for several residents, including long-acting insulin, an anti-seizure medication, a diuretic, and an oral blood glucose lowering medication. Specifically, for Resident #1, an anti-seizure medication (levetiracetam) was unavailable for administration, and records showed missed doses on multiple dates in September 2023. The medication error rate was identified as 22% during the morning medication pass.

The facility failed to maintain hot water temperatures at the required minimum of 110 degrees Fahrenheit and maximum of 116 degrees Fahrenheit. Observations on the Memory Care Unit revealed multiple bathroom sinks with temperatures at 127 degrees Fahrenheit, posing a significant scald risk to residents.

The facility failed to maintain hot water temperatures within the required range of 100 to 116 degrees Fahrenheit. Specifically, 10 out of 10 water fixtures in shared and common bathrooms used by residents were found to be at temperatures exceeding the maximum limit, with some sinks measured at 127 degrees Fahrenheit.

The facility failed to administer medications as ordered for two residents, specifically involving errors with eye medication for dry eyes and topical creams for rashes. The medication error rate was 9%, with three errors identified during medication passes on May 4 and May 5, 2022.

The facility failed to administer medications as ordered for 2 of 2 residents observed during medication passes. Specifically, errors included incorrect administration of eye medication for dry eyes and topical creams for rashes, resulting in a 9% medication error rate.