Wilham Ridge

The facility failed to provide clean top and bottom sheets on seven resident beds and failed to provide at least one pillow with a clean pillowcase for four resident beds. Observations included beds with stained, dingy, or missing linens, and residents using decorative pillows or throw blankets instead of proper bedding. Interviews revealed that some linens had not been changed for months and staff failed to respond to requests for new bedding.

The facility failed to provide clean top and bottom sheets on seven resident beds and failed to provide at least one pillow with a clean pillowcase for four resident beds. Specific observations included a resident using a decorative couch pillow and a bottom sheet that was stained and had not been changed for months.

The facility failed to ensure medications were administered as prescribed for two residents, specifically regarding mental health, pain management, and blood glucose control. For one resident, the facility failed to reorder PRN pain medication, leaving the resident without necessary medication for several days despite reports of significant pain.

The facility failed to ensure medications were administered as prescribed for two sampled residents. Specifically, one resident was without prescribed PRN pain medication for several days because it was not reordered, and another resident missed nine doses of an anti-anxiety medication without documentation of provider notification.

The facility failed to ensure that one of four sampled staff members had a completed criminal background check available in their personnel file. Specifically, the on-call supervisor's file lacked documentation of a hire date and proof of a background check completion.

The facility failed to ensure that one of four sampled staff members had a completed criminal background check available in their personnel file. Specifically, the on-call supervisor's file lacked documentation of a background check completed upon hire.

The facility failed to ensure documentation of an examination and screening for the presence of controlled substances was completed for one sampled staff member. The personnel file for the on-call supervisor lacked documentation of a drug screening upon hire.

The facility failed to ensure that three sampled medication aides had completed the required state-approved medication training, clinical skills validation, and written examinations. Specifically, staff members were found administering medications without documented 15-hour training, skills checklists, or required testing.

The facility failed to ensure the Activity Director met the required qualifications, specifically regarding the completion of basic activity courses within the required timeframe of employment.

The facility failed to ensure that three sampled medication aides completed the required state-approved medication training and clinical skills validation checklist. Additionally, one staff member had not completed the required medication aide written examination. These failures resulted in unqualified staff administering medications to residents.