Love and Care III Assisted Living, LLC.

“Based on documentation review, record review, and interview, the manager failed to ensure that the manager and caregivers provided evidence of freedom from infectious tuberculosis (TB) on or before the date the individual began providing services at or on behalf of the assisted living facility, and as specified in R9-10-113, for one of five personnel reviewed. 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 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 E5’s personnel record revealed no documentation of evidence of freedom from TB, including screening for signs and symptoms. Based on E5's date of hire, this documentation was required.  4. In an exit interview with E2, the findings were reviewed, and no additional paperwork was provided.”

“Based on record review and interview, the manager failed to ensure a caregiver or assistant caregiver documented the services provided in the resident's medical record, for one of two residents sampled. Findings include: 1. A review of R2's medical record revealed a service plan dated August 1, 2023 for personal care services. The service plan stated the following service was to be provided to R1: "toileting...catheter care empty bag twice a day". 2. A review of R2's medical record revealed an activities of daily living (ADL) document for August 2023. However, the aforementioned service was only documented as being completed once a day. 3. During an interview, E1 acknowledged R2's medical record did not include documentation of the service being provided twice a day. E1 reported the service was provided as indicated in the service plan.”