Winston Gardens

The facility failed to administer medications as ordered for 2 of 3 sampled residents, specifically regarding insulin dosing for high blood sugar. For Resident #1, the facility documented incorrect doses of Humalog based on fingerstick blood sugar readings on 07/20/23 and 07/27/23.

The facility failed to administer medications as ordered for 2 of 3 sampled residents, specifically involving a medication used to treat high blood sugar. This was a continuation of a previously unabated Type B violation.

The facility failed to provide necessary personal care for a resident, specifically regarding foot care. Observations revealed the resident had long, jagged, and yellowed toenails, as well as cracked skin on the left foot with light brown drainage and hardened dark brown discharge.

The facility failed to provide necessary personal care for a resident based on their care plan. Specifically, staff failed to address open sores on the resident's feet and neglected to provide proper nail care for long, jagged, and curved toenails. This resulted in visible skin cracking, drainage, and open wounds on the resident's feet.

The facility failed to ensure referral and follow-up to meet the acute health care needs of residents. Specifically, the facility failed to schedule a podiatry appointment for a resident with an existing order for toenail dystrophy and failed to inform a primary care provider of a change in condition for another resident.

The facility failed to ensure referral and follow-up care to meet the acute health care needs of residents. Specifically, the facility failed to schedule a necessary podiatry appointment for Resident #1 and failed to inform a primary care provider of a change in condition for Resident #3.

The facility failed to maintain separate locked areas for hazardous cleaning agents and failed to monitor cleaning supplies while in use. Specifically, hazardous substances like bleach and paint were found in unlocked cabinets and closets, and unattended cleaning carts containing bleach were left in resident areas.

The facility failed to maintain separate locked areas for hazardous cleaning agents and failed to monitor cleaning supplies while in use. Specifically, hazardous substances like bleach and paint were found in unlocked cabinets and closets, and unattended cleaning carts containing bleach were left in resident areas.