Inspection Reports for
Farmington Presbyterian Manor

The facility was found deficient in several areas including failure to respond to resident grievances, failure to follow physician's orders for weighing residents and oxygen therapy, and failure to provide a safe and functional environment due to hazardous storage of items on light fixtures. Deficiencies were documented with specific resident interviews and record reviews.

The facility failed to ensure doors to hazardous areas had self-closing devices, the kitchen range hood was laden with grease and debris, and the sprinkler system was not properly maintained. These deficiencies potentially affected all residents and staff.

The visit was complaint-related due to resident grievances about dietary services, failure to follow physician's orders for weights and oxygen therapy, and unsafe environmental conditions. Substantiation status is not explicitly stated.

The facility failed to adequately address resident complaints about dietary services including food temperature and staffing, failed to consistently follow physician's orders for resident weights and oxygen therapy, and allowed hazardous storage of items on over bed light fixtures. These deficiencies affected multiple residents and posed minimal harm or potential for actual harm.

The facility failed to implement comprehensive care plans with specific interventions for individual residents and did not follow appropriate infection prevention practices for employee tuberculosis screenings. Deficiencies were identified related to care plan development and revision as well as employee TB testing documentation and administration.

The facility failed to develop and implement complete care plans with specific interventions for three residents (Residents #7, #8, and #60) out of 16 sampled. Care plans did not address hearing aid use, changes in condition, or specific health issues such as seizures and syncope. The facility's census was 62.

Complaint # MO219588. The complaint investigation found an imminent danger Class I level violation initially, which was lowered to Class II after corrective actions were implemented.

The facility failed to keep one resident safe from accident hazards related to assistive devices, specifically the transfer bar on the bed. The facility did not provide a policy regarding the use of mobility rails and had an immediate jeopardy violation that was later lowered to a Class II deficiency after corrective actions.

Complaint # MO219588. The investigation found the facility responsible for an immediate jeopardy level violation related to resident safety with transfer bars on the bed. The immediate jeopardy was removed on the same day after corrective action.

The facility failed to keep one resident safe, resulting in an immediate jeopardy situation that was removed the same day after corrective action. The resident experienced near strangulation and was transferred to the emergency room. The facility lacked a proper policy on mobility rails and used an incorrect Side Rail Assessment form.

The facility failed to ensure residents were transferred with safe techniques and failed to ensure appropriate placement of indwelling catheter tubing and drainage bags for some residents. Deficiencies were identified related to accident hazards and bowel/bladder incontinence care.

The facility failed to maintain sprinkler heads in fully functioning order as evidenced by a sprinkler head behind dryers loaded with dust and debris. The emergency preparedness portion of the survey resulted in no deficiencies.

The facility failed to ensure safe transfer techniques for four residents, with staff placing hands improperly during transfers. Additionally, the facility failed to ensure appropriate placement of indwelling catheter tubing and drainage bags for three residents, with tubing and bags touching the floor or placed improperly.

The investigation was complaint-related focusing on infection control and COVID-19 outbreak management. The facility had four COVID-19 positive residents and three positive staff at the time of inspection. Deficiencies were substantiated based on observations, interviews, and record reviews.

The facility was found to have deficiencies in food safety practices, infection prevention and control including COVID-19 protocols, and failure to properly use personal protective equipment and signage during a COVID-19 outbreak. The facility census was 59 during the inspection.

The facility was found deficient in documenting orientation for transfer or discharge for multiple residents, accuracy of assessments, updating care plans timely, and maintaining infection control practices. Several residents' records showed failures in documentation and infection prevention procedures.

The facility failed to maintain adequate exit illumination and failed to maintain the facility free of combustible decorations, including candles. These deficiencies potentially affected all residents and staff.

The facility was found to have multiple deficiencies related to fire safety, including failure to maintain ceilings free of penetrations, exit doors with deadbolt locks, inadequate emergency egress lighting, incomplete fire alarm testing documentation, and issues with sprinkler system maintenance. The facility census was 81 at the time of inspection.

The facility failed to notify residents and/or their representatives in writing of transfers or discharges for four residents and did not have a policy for notification of hospitalization. The facility also failed to notify residents and/or their representatives in writing of the bed hold policy for four residents. Documentation and written notifications were missing for multiple residents' transfers and bed hold policies.