Wexford House

The facility failed to serve therapeutic diets as ordered to one of three sampled residents. Specifically, the resident's record contained conflicting orders for nutritional supplements, including both brand-specific 'Mighty Shakes' and 'Ensure' supplements.

The facility failed to serve therapeutic diets as ordered to one resident regarding a brand-specific nutritional supplement. While the physician's order had been updated to specify 'Ensure' twice daily, the facility continued to provide 'Mighty Shakes' or 'Magic Cups' instead.

The facility failed to implement physician orders for one of five sampled residents regarding blood pressure checks three times weekly. Specifically, despite a diagnosis of hypertension and prescribed medications, the required monitoring orders were not documented or implemented in the resident's record.

The facility failed to implement physician orders for blood pressure checks three times weekly for one resident. Review of the resident's eMAR showed that blood pressure was only being recorded monthly or following specific incidents, rather than the prescribed frequency.

The facility failed to ensure that one of three sampled staff members was tested for tuberculosis upon hire. The staff member provided documentation from a previous employer but had not received a required test since being hired at the facility.

The facility failed to ensure that training on the care of residents with diabetes was provided to unlicensed staff prior to the administration of insulin. A review of personnel records for three sampled Medication Aides showed no documentation of completed diabetic training.

The facility failed to ensure that training on the care of residents with diabetes was provided to unlicensed staff prior to the administration of insulin. A review of personnel records for three sampled Medication Aides showed no documentation of completed diabetic training, despite staff performing insulin administration tasks.