Advent Residential Home

Maintain physician order documentation in resident record

87608 Postural Supports : (a) Based 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. (3) 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 not met as evidenced by: Based on observation and record review, LPA observed Resident 2 (R2) who resides in Room 2 to have a half bed rail without an order from physician which poses an immediate health and safety risk to residents in care.

(a) Based 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... Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include... limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care... This requirement is not met as evidenced by: Based on observations and record review, Resident 3 (R3) who resides in room 3 and resident 6 (R6) who residents in room 6 were observed to have full bed rails, however both residents are no on hospice which poses an immediate health and safety risk to residents in care.

Update reappraisal at required intervals

Based on 6/6 resident records reviewed, service plans are not being updated frequently as necessary or annually, whichever occurs first which poses a potential health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Based on observations, LPA observed S1 cooking in the kitchen during the visit, however after record review, S1 does not have fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observations, water temperature throughout the facility measured between 126-134 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Based on staff records reviewed, 3/5 staff members providing care and supervision to residents at the facility have expired first aid/CPR training which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observations, water temperature throughout the facility measure between 100-123 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.