Beehive Homes of Page, Elk Rd.

“Based on documentation review, record review, and interview, the manager failed to ensure a personnel record for each employee included documentation of evidence of freedom from infectious tuberculosis (TB), as specified in R9-10-113, for three of four personnel sampled. The deficient practice posed a potential 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 the Centers for Disease Control and Prevention website revealed a web page titled "TB Screening and Testing of Health Care Personnel." The web page stated, "If the Mantoux tuberculin skin test (TST) is used to test health care personnel upon hire (preplacement), two-step testing should be used." 3. A review of facility documentation revealed a staff schedule for November 2025. The schedule revealed E4 had been scheduled to work throughout November.  4. A review of E4's personnel record revealed a TB skin test from November 2024 along with a signs and symptoms screening. However, a second TB skin test was not available for review. 5. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis before or within seven calendar days after the resident's date of occupancy, and as specified in R9-10-113, for two of two residents sampled. Findings include: 1. A review of R1's medical record revealed documentation of negative TB skin test from May 2023. However, documentation of a TB screening questionnaire was not available for review at the time of inspection. 2. A review of R2's medical record revealed documentation of negative TB skin test from March 2021. However, documentation of a TB screening questionnaire was not available for review at the time of inspection. 3 . In an exit interview, the findings were discussed with E1 and no additional information was added.”

“Based on record review and interview, the manager failed to ensure the resident submitted documentation dated within 90 days prior to admission, signed by a registered nurse or medical practitioner, stating whether the resident would require continuous medical services, continuous or intermittent nursing services, or restraints for two of two sampled residents,. Findings include: 1. A review of R1's medical record revealed documentation, dated within 90 days prior to admission, signed by a registered nurse or medical practitioner, stating whether the resident would require continuous medical services, continuous or intermittent nursing services, or restraints, was not available for review. 2. A review of R2's medical record revealed documentation, dated within 90 days prior to admission, signed by a registered nurse or medical practitioner, stating whether the resident would require continuous medical services, continuous or intermittent nursing services, or restraints, was not available for review. 3. In an exit interview with E1, the findings were reviewed and no additional information was provided.”

“Based on record review and interview, the manager did not ensure a resident's medical record contained documentation of the resident's orientation to exits from the assisted living facility, for two of two residents sampled. The deficient practice posed a risk if a resident was unaware of the evacuation path to be used in an emergency.      Findings include:   1. A review of R1's medical records revealed documentation of R1's orientation to exits from the assisted living facility was not available for review.  2. A review of R2's medical records revealed documentation of R2's orientation to exits from the assisted living facility was not available for review.    3. In an exit interview, E1 reported the orientation was completed at admission. E1 acknowledged R1's and R2's medical record did not contain documentation of the R1's and R2's orientation to exits from the assisted living facility.”