Ordinary Lifestyles IV.

“Based on record review and interview, the manager failed to ensure that one of one sample personnel record contained evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113. Findings include: 1. The record for E3 (Caregiver) contained documentation indicating that one TB test was administered within the 12 months prior to the date of hire. No other TB test documentation conducted within the past 12 months was found in the record. Based on the employee's date of hire this documentation would be required. 2. During an interview, E1 acknowledged that the employee worked more than eight hours per week and the documentation did not reflect that the employee record contained evidence of freedom from TB as specified in R9-10-113, prior to providing services to residents.”

“Based on observation and interview, the manager failed to ensure that the hot water temperature in areas of the assisted living facility used by residents was maintained between 95\'ba F and 120\'ba F. Findings include: 1. The temperature of the hot water found in the common resident bathroom located next to the living room was 125\'ba F. 2. During an interview, E1 acknowledged the hot water temperature located in an area used by residents was not maintained between 95\'ba F and 120\'ba F.”

“Based on record review and interview, the manager failed to ensure that the health care institution implemented tuberculosis infection control activities that included annually providing training and education related to recognizing the signs and symptoms of tuberculosis (TB) to individuals employed by the health care institution. Findings include: 1. Review of the record for E1 failed to reveal documentation indicating that annual training related to recognizing the signs and symptoms of TB had been completed. No TB training documentation was available for review. 2. During an interview, E1 acknowledge that the required documentation was not available.”

“Based on documentation review and interview, the manager failed to ensure that the health care institution established, documented, and implemented tuberculosis infection control activities that included annually assessing the health care institution's risk of exposure to infectious tuberculosis. Findings include: 1. Review of facility documentation failed to reveal an annual assessment of the health care institution's risk of exposure to infectious tuberculosis. 2. During an interview, E1 acknowledged that the required documentation was not available for review.”