Your Grace & Mercy Family Care Home

The facility failed to conduct four unannounced fire drills every year on each shift. While drills were conducted quarterly, the administrator was unaware that the requirement applied to every shift specifically.

The facility failed to conduct the required four unannounced fire drills on each shift every year. A review of fire rehearsal logs showed only three documented drills for the current license period.

The facility failed to ensure that all residents received tuberculosis (TB) disease testing upon admission. Specifically, for one sampled resident, there was no documentation of a TB skin test despite an admission date in July 2016.

The facility failed to ensure that all residents received tuberculosis (TB) disease testing upon admission. Specifically, for one sampled resident, there was no documentation of a TB skin test in the resident's record despite the resident's admission in July 2016.