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32 | During the kitchen tour, LPA found a plastic container that contained Staff S5’s personally used syringes and needles. The facility will be issued a deficiency for not storing the syringes and needles in a proper bloodborne pathogen’s container. During kitchen tour, LPA also found a bottle of R4’s medication being stored on the kitchen counter. LPA also found that Residents R1, R2, R3, R4, R5, and R6 medications were in an unlocked cabinet in the hallway. The facility will be issued a deficiency for not properly locking the resident’s medications. LPA also found that Residents R1, R2, R3, R4, and R6 medications were removed from the originally received prescription containers and were being stored in plastic containers labeled AM and PM. The facility will be issued a deficiency for not storing the resident’s medications in the originally received prescription containers.
During the visit, LPA was informed by Staff S5 that Staff S5 administers injections for Resident R1 for a medical condition. The facility will be issued a deficiency for administering injections without being a properly skilled professional.
During garage tour, LPA found that that facility created a sleeping area for Staff S4 that included a bed, a partition, and personal items. LPA found that the storage room in the garage had been converted into a bedroom for Staff S1 that included a bed and personal items. The facility will be issued a deficiency for creating sleeping arrangements in the garage and in the garage storage room.
LPA found that the facility does not have sufficient care staff for coverage 24 hours a day, 7 days a week. The facility has two (2) resident’s that have a condition that requires an awake staff at night. LPA was informed by Staff S5 that the staff sleep at night and are on call if the residents need assistance. The facility will be issued a deficiency for not having proper staff to take care of the resident’s needs at night.
The facility has designated storage space for resident files and staff files. LPA reviewed six (6) residents files for admission agreements, updated physician reports, and needs and services plans. LPA found that Residents R1, R2, R3, R4, R5, and R6 do not have needs and services plans. The facility will be issued a deficiency for not completing needs and services plans for the residents.
LPA reviewed two (2) staff files for First Aid/CPR certifications, criminal record clearances, trainings, and health screenings. LPA found that Staff S5 and Staff S3 do not have First Aid/CPR certifications. LPA found that Staff S4 does not have a staff file and does not have a criminal record clearance to work at the facility. The facility will be issued a deficiency for not having First/Aid CPR certifications and for S4 not having a staff file.
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