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- Required ProgramsPrograms & adminOrder
Inspectors found that the home did not follow its own pain management policy for a resident. When a staff member identified that the resident was in pain, the home did not complete a pain assessment or provide pain management treatment as required by the policy. Later that day, the resident was observed screaming with facial grimacing and stated they were in pain, and the failure to assess and treat the pain contributed to continued suffering and a decline in the resident's quality of life.
- Additional Training — Direct Care StaffStaffing & training
Inspectors found that the home did not ensure all direct care staff completed mandatory annual training as required. Specifically, 89.8% of staff completed skin and wound care training and 90.6% completed pain management training, meaning some staff did not complete these required trainings.
- Plan Of CareCare planning
Inspectors found that a resident's plan of care contained unclear directions to staff about seating and positioning.
- Duty Of Licensee To Comply With PlanCare planning
Inspectors found that a staff member did not report a resident's pain to a nurse as specified in the resident's plan of care.