Inspection Results
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Facility failed to meet the following Requirement(s):Corrected DateLevel of HarmResidents Affected
A record shall be maintained in the facility for each resident which shall include: (B) A resident ' s record, including a review monthly or more frequently, if indicated, of the resident ' s general condition and needs; a monthly review of medication consumption of any resident controlling his/her own medication, noting if prescription medications are being used in appropriate quantities; a daily record of distribution or administration of medication; any physician ' s orders; a logging of the drug regimen review process; a monthly weight; a record of each referral of a resident for services from an outside service; and a record of any patient incidents and accidents involving the resident. III 3/31/2023   
Intake and exhaust air ducts shall be maintained to prevent the entrance of dust, dirt and other contaminating materials. III 3/31/2023   
Walls and ceilings, including doors, windows and skylights, shall be clean and maintained in good repair. III 3/31/2023   
Each resident admitted to the facility, or his or her next of kin, legally authorized representative or designee, shall be fully informed of the individual's rights and responsibilities as a resident. These rights shall be reviewed annually with each resident, and/or his or her next of kin, legally authorized representative or designee, either in a group session or individually. II/III 3/31/2023