Failure to Administer Facility to Ensure Resident Well-Being and Resource Use
Penalty
Summary
The facility failed to be administered in a manner that enabled effective and efficient use of its resources to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Survey findings included situations of neglect resulting in Immediate Jeopardy and actual harm to residents. Additional deficiencies were identified, such as failure to address and report changes in resident condition in a timely manner, unmet staffing needs leading to delays in care, lack of assistance for residents to attend outside service appointments, and failure to help residents find alternate placement when the facility could not meet their needs. Infection control practices were not followed, and necessary equipment and supplies for resident care were not available to staff. Further observations revealed that comprehensive wound care was not provided, and appropriate care and services for bariatric residents were lacking, despite the facility's assessment indicating the ability to provide such services. The Administrator, responsible for day-to-day operations, confirmed being notified of all incidents and concerns. Review of the Administrator's job description emphasized responsibilities for ensuring safety regulations, maintaining the facility in good repair, and ensuring residents receive necessary care and services as defined by comprehensive assessments and care plans.