Astera Care Home Llc

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.-This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above in not completing the LIC601 for R1 which poses a potential personal rights risk to persons in care.

87309 Storage Space and Access(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage... -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section in unlocked storage which posed an immediate safety and/or personal rights risks to persons in care.

87457 Pre-Admission Appraisal(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria .......... -This requirement is not met as evidenced by:-Based on records review, the licensee did not comply with the section above in not completing the Pre-Admission Appraisal for R1 and R2 which poses a potential health, safety and/or personal rights risks to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in R4's LIC602 not consistent with R4's current condition of able to feed self which poses a potential personal rights risk to person in care.

Based on interview of staff and records review, the licensee did not comply with the section cited above in S2, S3 and S4 not having the required 40 hours of training which pose a potential health, safety and/or personal rights risks to persons in care. Staff only have total 21 hours of training on file.

Based on interview and records review, the licensee did not comply with the section cited above in S2, S3 and S4 not having medication training on file which pose a potential health and/or personal rights risks to persons in care.

Based on observation, the licensee did not comply with the section cited above in hot water at 124 degrees Fahrenheit which poses an immediate health and/or personal rights risks to persons in care.

Based on observation, the licensee did not comply with the section cited above in trash cans without lids in residents' rooms which pose a potential health and/or personal rights risks to persons in care.

Based on observation, the licensee did not comply with the section cited above in the following which pose an immediate health, safety and/or personal rights risks to persons in care: unlocked Ca-Rezz; ointment; razor

Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents not having Pre-admission Appraisal which poses a potential health, safety and/or personal rights risks to persons in care.

Based on records rreview, the licensee did not comply with the section cited above in 5 out of 5 residents not having LIC9172 Functional Capability Assessment on file which pose a potential health, safety and/or personal rights risks to persons in care.

Based on observation, record review and interviiew of staff, the licensee did not comply with the section cited above in retaining R5 who is dependent on staff with all ADLs which poses a potential health, safety andor personal rights risk to person in care.

Based on observation, the licensee did not comply with the section cited above for broken toilet paper holder in one of the ensuite bathrooms which poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section above for having a shovel in the backyard, and lancets on the desk by the dining area which pose an immediate safety risks to persons in care.

Based on observation, the licensee did not comply with the section cited above for Pepto Bismol in the refrigerator, wound cleanser and antifungal powder in one of the resident's rooms, Glucose test solution by the dining area which poses an immediate health and/or personal rights risks to persons in care.

Based on records review, the licensee did not comply with the section cited above in 3 out 3 residents not having complete doctor's order for medications which facility administers. It's not clear whether or not all the medications are needed which pose an immediate health and.or personal rights risks to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out 3 residents not having medications properly and completely recorded on LIC622s which pose a potential personal rights risk to persons in care. The quanity of medications received/refilled are also not recorded.

Based on record review, the licensee did not comply with the section cited above in 3 out of 4 resident's beds having half bed rails but no doctor's orders on file pose a potential safety and/or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 4 residents who depends on the staff with ADL which poses a potential health, safety and/or personal rights risk to person in care.

Based on interview and record review, the licensee did not comply with the section cited above for not doing the disaster drill which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff not completing the required 4 hours of postural support, restricted health condiition and hospice care training which poses a potential health, safety and/or personal rights risk to persons in care.