Grandma's Angel #2.

“Based on documentation review, and interview the manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge were verified and documented before providing physical health services, for one of two caregivers sampled. The deficient practice posed a risk if employees were unable to meet the needs of residents. Findings include: 1. A review of E2's personnel record revealed E2 was hired as a caregiver on November 20/ 2023. Evidence indicating E2's skills and knowledge were verified and documented before providing physical health services was unavailable for review. 2. A review of the facility's policies and procedures, updated December 28, 2022, revealed a policy titled, "Caregiver Job Descriptions, Duties and Qualifications." The policy read as follows: "1. Before providing direct care to the residents at this facility, the Manager will ensure that each caregiver will meet the following... d. Demonstrates the qualifications, skills and knowledge required to provide assisted living services...(Please see Skill Verification Checklist completed by caregiver, manager and or trainer)" 3. In an interview, E1 agreed evidence of documentation of verification of E2's skills and knowledge was unavailable for review.”

“Based on record review, documentation review, and interview, the manager failed to ensure a manager, a caregiver, and an assistant caregiver provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for one of two caregivers sampled. Findings include: 1. A review of E2's personnel record revealed evidence of a signs, symptoms and risk assessment signed by a registered nurse, however evidence of documentation of freedom from infectious TB was available for review. 2. In an interview, E1 affirmed E2 had conducted two skin tests at least one week apart, which were both negative for TB. However, E1 agreed E2's personnel record did not contain current documentation of evidence of freedom from infectious TB.”

“Based on record review and interview, the manager failed to ensure a resident had a written service plan to include the amount, type, and frequency of assisted living services being provided to the resident for two of two residents sampled. Findings include: 1. A review of R1's medical record revealed a service plan dated February 2, 2024 for personal care services. The service plan included incontinence care and assistance with brief changes. However, the service plan did not include the frequency of brief changes or the amount of assistance R1 required with brief changes. 2. A review of R2's medical record revealed a service plan dated February 20, 2024 for personal care services. The service plan included incontinence care and assistance with brief changes. However, the service plan did not include the frequency of brief changes or the amount of assistance R2 required with brief changes. Further, R2's service plan included a section titled, "Grooming," and indicated R2 required "Complete Assist." However, the service plan did not include the amount and frequency of the service. 3. In an interview, E1 acknowledged R1's and R2's service plans did not include the amount and frequency of all assisted living services being provided to each resident.”