The Next Genesis II.

“Based on record review and interview, the manager failed to ensure resident records contained evidence of freedom from infectious tuberculosis(TB) as specified in R9-10-113 for one of two residents sampled. The deficient practice posed a TB exposure risk to residents. Findings include: 1. R9-10-113.A states "If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that...2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1)..." 2. A review of R2's medical record revealed no documentation of freedom from infectious TB. Based on R2's acceptance date, this documentation was required. 3. In an interview, E3 acknowledged R2's medical record did not contain evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113.”

“Based on interview and record reviewed, the manager failed to ensure when a resident had an incident resulting in the resident needing medical services, a caregiver documented the date and time of the incident; a description of the incident; the names of individuals who observed the incident; the action taken by the caregiver; the individuals notified by the caregiver; and any action taken to prevent the incident from occurring in the future, for one of one resident reviewed who had an incident resulting in the resident needing medical services. The deficient practice posed a health and safety risk. Findings include: 1. In an interview, E2 and E3 reported that R1 was transported to the hospital from the facility by emergency medical services in November 2023. 2. Review of R1's medical record revealed no documentation for the incident. 3. In an interview, E2 acknowledged R1's medical record did not include documentation showing the date and time of the incident; a description of the incident; the names of individuals who observed the incident; the action taken by the caregiver; the individuals notified by the caregiver; and any action taken to prevent the incident from occurring in the future.”