| Facility
Services: |
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Type:. |
Family Care |
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Population
Served: |
Elderly, disabled adults, dementia, mental illness |
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Licensed
Special Care Unit: |
Not Available |
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Licensed
Number Of Beds: |
4 |
| Facility
Operations: |
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Business
Owners: |
Paquita T. Jones |
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Length
In Operation Under Current Owner: |
February, 2008 |
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Payment
Accepted: |
Private Pay, Medicaid-Special Assistance, |
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Community
Advisory Committee reports:
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Community
Advisory Committee reports:
Click the File to view a report. |
No Community Advisory Committee Reports
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| Compliance
Information:
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Posted
as of January 1 2008 |
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Complaints: |
Past Years of Complaints for Elsie Doris Family Care Home (3-Star Rated Home): 2007 - 2008 |
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Date
of Complaint |
Licensure
Area |
Allegation |
Findings |
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6/4/2008 |
Management & Staff, Residents Rights |
On 6-04-08 and 6-09-08, a caller alledged that residents of the home had to wait outside in hot tempertaures for 30 minutes or more becuase staff was not available in the home. |
2 of 3 residents reported that on both 6-04-08 and 6-09-08, they had to wait outside for staff return to the facility, with temperatures being 91 and 97 on both days. |
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Date
of Complaint |
Licensure
Area |
Allegation |
Findings |
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Date
of Complaint |
Licensure
Area |
Allegation |
Findings |
01-27-2010 |
Medication |
Caller stated that one of the residents is not receiving one of his medications as ordered |
It was determined that one resident had been without one of his medications for approximately 30 days. The medication was not in the facility as there had been some problems in obtaining the medication from the pharmacy. |
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01-27-2010 |
Transportation |
Caller stated that the administrator does not always provide transportation for the residents to their medical appointments and residents are having to pay for transportation to medical appoints |
It was determined that residents at the facility were paying for transportation to appointments that the home should have been paying. |
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10-26-2009 |
Staffing |
Caller stated that the residents of the home are being left alone with no staff at the home. |
On a visit to the home on 10-28-09 there were three residents in the home with no staff present. The residents were left alone for approximately three hours that morning. |
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Corrective
Actions: |
Past
Years of Corrective Actions for Elsie Doris Family Care Home (3-Star Rated Home): 2007 - 2008 |
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| - Corrective Actions for 2008 |
Date
Issued |
Licensure
Area |
Violation |
Date
Corrected |
12-17-2008 |
MEDICATION ADMINISTRATION |
At the 12-9-08 follow up visit a review of 2 of 2 residents' charts revealed medications had not been administered as ordered.An order signed 12-7-08 decreased dosages for two medications which were not relected on the Medication Administration Record(MAR) causing Resident A to receive more medication than ordered. Another Resident was not receiving 2 medications ordered: one because it had not been reordered until the 12-9-08 discovery and the other because the medication had not yet been located in one of three bags of medication Resident B brought with him at readmission on 12-2-08. |
01-13-09 |
11-11-2008 |
MEDICATION ADMINISTRATION |
On 11-5-08 a follow up monitoring visit revealed the facility was not in compliance with its Plan of Correction. A review of the November 2008 Medication Administration Record(MAR) revealed the dosage for Resident B's medication had been reduced by the Administrator without a doctor's order because the Administrator felt 3 tablets twice daily was too much.Resident B received one-third of the ordered dose. |
FAILED |
10-9-2008 |
MEDICATION ADMINISTRATION |
The facility failed to assure documentation of the Medication Administration Record(MAR) immediately following administration of medication.On 10-6-08 the October MAR was not documented from October 4-6th;
The facilty failed to assure accuracy of the MAR.Three medications from an old order had not been deleted from the October MAR,a medication to be administered Monday, Wednesday and Friday had been administered Wednesday, Thursday and Friday. Medication bottle labels did not match current orders for two medications resulting in a resident receiving 3 times the amount ordered for one medication and 4 times the amount ordered for the other medication. |
FAILED |
06-19-08 |
Management & Staff, Residents Rights |
Complaint Investigation revealed that on 2 separate occasions (6-04-08, 6-08-08) 2 of 3 residents of the facility had to wait outside, unsupervised during high, humid local temperatures. |
7-16-08 |
| - Corrective Actions for 2007 |
Date
Issued |
Licensure
Area |
Violation |
Date
Corrected |
| Corrective
Actions for 2009 |
Date
Issued |
Licensure
Area |
Violation |
Date
Corrected |
03-05-2010 |
Medication |
It was determined that one resident had been without one of his medications for approximately 30 days. The medication was not in the facility as there had been some problem with obtaining the medication from the pharmacy. |
06-02-2010 |
03-05-2010 |
Transportation |
It was determined that one resident had been without one of his medications for approximately 30 days. The medication was not in the facility as there had been some problems with obtaining the medication from the pharmacy. |
06-02-2010 |
04-13-2010 |
Reporting of Accidents |
The home failed to notify the Department of Social Services within 48 hours of an accident/ incident that that resulted in injury to a resident requiring referral for emergency evaluation other than first aid |
7-7-2010 |
01-13-2010 |
Food Service |
Home failed to follow posted menus for regular and renal diet. Home failed to have to have sufficient food on hand to meet the requirement of three days of perishable foods and five days non-perishable foods. |
01-28-2010 |
11-24-2009 |
Food ServiceandMedications |
Home failed to provide three nutritionally adequate meals for three of three residents.
The home failed to provide a renal diet to one resident as prescribed by the physician.
The home failed to administer medications as ordered to three of three residents. |
Failed |
11-24-2009 |
Supervision |
Failed to provide supervision to three residents by leaving them alone at the home without a staff member present to provide supervision. |
12-16-09 |
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Negative
Sanctions: |
Past
Years of Negative Sanctions for Elsie Doris Family Care Home (3-Star Rated Home): 2007 - 2008 |
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| - Negative Sanctions for 2008 |
Date
Of Sanction |
Licensure
Area |
Sanction
Type |
Findings |
| - Negative Sanctions for 2007 |
Date
Of Sanction |
Licensure
Area |
Sanction
Type |
Findings |
| Negative
Sanctions
for 2009 |
Date
Of Sanction |
Licensure
Area |
Sanction
Type |
Findings |
Oct 15, 2009 |
Medication Administration |
Financial Penalties |
The facility failed to correct problems with the administer medications as ordered by a physican for two residents in a timely manner which resulted in the imposition of a financial penalty of $960. |
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