Landmark Villa

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following ...(f) All personnel records shall be available to the ..., audit, and copy upon demand during normal .... Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: (h) All personnel records shall be retained for at least three (3) years following termination ... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having former staff file avaliable which poses a potential health and safety risk to persons in care.

(a) Living accommodations ...function. The facility shall be large enough to provide comfortable living ... ...e residents, staff, and others who may reside in the facility. The following provisions shall apply:(3)... supplies necessary for personal care and maintenance of adequate hygiene ...resident. The resident may provide the following items; ... shall ... (D) Hygiene items of general use such as soap and toilet paper.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having adiquate hygiene supplies avaliable for residents in care which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above fpr unlocked chest rub in resident's room which poses an immediate health and safety risks to persons in care.

87463 Reappraisals(a)The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. -This requirement is not met as evidenced by:-Based on interview and records review, the licensee did not comply with the section above by not updating R1's Appraisal/Needs and Services Plan which posed potential health risks to person in care.

87506 Resident Records(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident.-This requirement is not met as evidenced by: -Based on interview, the licensee did not comply with the section above for not keeping R1's records for at least 3 years which posed potential health and personal rights risks to person in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a).... elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. -This requirement is not met as evidenced by:-Based on interviews and records review, the licensee did not comply with the section above. R1was able to AWOL unnoticed. R1 fell resulting to sustaining injuries. These posed immediate safety and personal rights and safety risks to person in care.Civil penalty is assessed.

87705 Care of Persons with Dementia(b)(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials.-This requirement is not met as evidenced by: -Based on interviews and records review, the licensee did not comply with the section above for retaining R1 with dementia. R1 was able to AWOL which posed immediate safety risk to person in care.