Divine Mercy Care Homes

Give PRN medication by physician order

Based on records reviewed and interview conducted with Licensee, R2’s one out of two medication, R3’s two out of three medications, and R4’s one out of four medications were not administered as prescribed by physician, which poses/ posed a potential health and safety risk for the person in care.

Record dose details and resident medication response

Based on interview conducted, observations, and records reviewed, four out of four resident taking medications, staff did not record medication were administered from 02/26/26 to 3/4/26. R2, R3, R4’s and R5’s PRN medications were not recorded in the MAR. R3’s Acetaminophen medication, R4’s Tylenol medication, and R5’s Lomotil and Miralax medications record in MARs and not centrally stored in the facility, which poses an immediate health and safety risk for the person in care.

Record centrally stored prescriptions and refill data

Based on observation and records reviewed, R3’s PRN medications were not recorded in the Lic 622. R5’s PRN medication Geri-Tussin DM expect was not recorded in the Lic 622, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Facility must keep complete hospice care plan on file

Based on record review, the licensee did not comply with the section cited above when LPA reviewed R1, R2, R3 and R5 who are currently receiving hospice care with no current hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

Keep bath, laundry and kitchen floors clean

Based on observation, hall bathroom, mold was observed in the bathroom shower and in bathroom walls which poses/posed a potential Health, Safety, and Personal Rights risk to the resident.

Give PRN medication by physician order

Based on observation and records reviewed, R1’s medication Quetiapine Fumarate /Seroquel 50mg instruction take on tablet by mouth twice daily record in R1’s MAR administered daily once a day at bedtime which poses an immediate health and safety risk for the person in care.

Record dose details and resident medication response

Based on observations and records reviewed, R1’s PRN medication Docusate sodium 100 mg and Bisacodyl 10mg was observed and not record R1’s MAR, staff did not record on MAR . R1’s Quetiapine Furamate 25mg/ Seroquel 25mg take 1 tablet by mouth daily recorded on R1’s MAR administered daily, medication not observed in the facility which poses an immediate health and safety risk for the person in care.

Based on observation, refrigerator was locked with a metal chain and food pantry was locked, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Based on observation and records reviewed, R1 and R2 are on hospice care lying bed using a hospital bed with full rail with no doctor’s order, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Use slip-resistant surfaces in bathing areas

Based on observation and interviews conducted, the licensee did not comply with the section cited above no non-skid mat or strip was observed in the residents’ bathrooms, which poses/posed a potential health, safety or personal rights risk to person in care.