Faith Care Homes.

“Based on documentation and interview the manager failed to ensure that policies and procedures were reviewed at least once every three years and updated as needed. Findings include: 1 . A review of facility documents revealed that the policies and procedures were not reviewed at least once every three years and updated. The last review date was August 10, 2021. 2 . In an interview, E1 acknowledged that the policies and procedures had not been reviewed at least once every three years and updated, as needed.”

“Based on observation and interview, the manager failed to ensure that there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that had monitors or alerts employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1 . During a tour of the facility, the Compliance Officer observed an alarm on the front entry door and the door to the back yard, both of which had the alarms set in the off position. 2 . In an interview, E1 acknowledged that the doors that allowed egress for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort and had monitors or alerts employees of the egress of a resident from the facility, were turned off.”

“Based on record review and interview the manager failed to ensure that medication was administered to a resident as prescribed and cover the documentation of a resident's refusal to take prescribed medication in the resident's medical record. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication. Findings include: 1 . During a review of R1's medication administration record the Compliance Officer revealed medications not administered per medication orders and no documentation to indicate R1's refusal to take prescribed medications: Sennoside S - 50 milligram (mg) - 1 tablet twice a day - Not given August 1 - August 5, 2025 Ezetimibe - 10 mg tablet - 1 tablet daily in the evening - Medication was given in the morning and evening August 1 - August 5, 2025. 2 . In an interview, E1 acknowledged that medications were not administered as prescribed and no documentation to indicate refusal to take prescribed medications.”

“Based on observation and interview, the manager failed to ensure that hot water temperatures were maintained between 95 F and 120 F in areas of the facility used by residents. Findings include: 1 . During the environmental tour of the facility the Compliance Officer observed the hot water temperatures to not be within the range of 95 F - 120F: Water test in Resident bathroom was 93.2 F Water test in Kitchen was 90.1 F. 2 . In an interview, E1 acknowledged that the hot water was not maintained between 95 F and 120 F.”