Medisys Home Care II.

“Based on documentation review, record review and interview, the manager failed to ensure that an employee provided documentation of freedom from infectious Tuberculosis (TB) as specified in R9-10-113, for two of two sampled employees. The deficient practice posed a potential TB exposure risk to residents.   Findings include:   1. A Documentation review of Department notes revealed, Technical Assistance was provided regarding the new TB rules on November 9, 2022 and December 4, 2024. 2. A record review of E1’s personnel record revealed, E1 provided one negative TB test on September 11, 2022. A second TB test was not submitted. A TB screening assessment form was not available for review.   3. In an interview, E1 acknowledged the manager did not ensure E1 provided documentation of freedom from infectious Tuberculosis (TB) as specified in R9-10-113.”

“Based on record review and interviews, the manager failed to ensure a personnel record for each employee included documentation of cardiopulmonary resuscitation (CPR) training, for two of two sampled employees. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.   Findings include:   1. A record review of E1 and E2's personnel records revealed, that the employees' Cardiopulmonary Resuscitation (CPR) and First Aid (FA) certification expired May 30, 2025.   2. In an interview, E1 acknowledged the manager failed to ensure E1 and E2 did not have current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults.”

“Based on record review, documentation review, and interview, the manager failed to ensure that a resident provided evidence of freedom from infectious Tuberculosis before or within seven calendars after the resident's date of occupancy as specified in R9-10-113. The deficient practice posed a potential TB exposure risk to residents.   Findings include:   1. A record review of R1’s medical records revealed, documentation of a TB screening and risk assessment form, was not available for review.   2. A documentation review of the facility's Policies and Procedure titled, "Tuberculosis (TB) Testing" stated, "The TB test must be Both administered AND read prior to the individual being accepted as a resident, providing services to residents, or moving into the facility, as appropriate."   3. In an interview, E1 acknowledged the manager failed to ensure R1 provide documentation of freedom from infectious Tuberculosis (TB) prior to or within seven calendar days of admission.”

“Based on record review, documentation review and interview, the manager retained a resident confined to a bed or chair without meeting the requirements in R9-10-814.B.2.a.b.i-iii., including documentation of the resident's or the resident's representative's request the resident remain in the facility; documentation to demonstrate the resident's primary care provider or other medical practitioner examined the resident at least once every six months throughout the duration of the resident's condition; reviewed the facility's scope of services; and signed and dated a determination stating the resident's needs were being met at the facility. The deficient practice posed a risk if the facility was unable to meet a resident's needs.   1. A record review of the “Determination For Continued Residency” form for R2 revealed, that it was last completed and signed by a physician on November 10, 2024. 2. A record review of R2's Service Plan dated August 26, 2025, revealed, R2 was wheelchair bound. 3. A review of the facility's “Determination For Continued Residency form” stated, "Licensee shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 30 calendars before the individual is accepted by an this facility and at least once every 6 months throughout the duration of the resident's condition."    4. In an interview, E1 acknowledged the manager did not obtain documentation to demonstrate R2's primary care provider or other medical practitioner examined the resident at least once every six months throughout the duration of the resident's condition; reviewed the facility's scope of services; and signed and dated a determination stating the resident's needs were being met at the facility.”

“Based on documentation review, record review, and interview, the administrator failed to ensure the health care institution administered a training program for all staff regarding Fall Prevention and Fall Recovery, for one of two personnel members sampled. The deficient practice posed a risk to the health and safety of residents. Findings include: 1. A review of E3's personnel record, revealed no documentation of Fall Prevention and Fall Recovery training. 2. In an interview, E1 acknowledged E3's personnel record, revealed no documentation of Fall Prevention and Fall Recovery training.”