Boundless Care for the Elderly

OBSERVATION OF THE RESIDENTThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is no met as evidence by:Administrator did not observe R1's change of condition and ensure the needs and assistance was met that lead R1 to have reoccurring unexplained injuries.

POSTURAL SUPPORTSBased on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions.A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is no met as evidence by:Facility did not use the wheel chair in a safe manner and removed the foot pedals without a written order from a physician which caused injuries.