Bella Vista

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 record review, the licensee did not comply with the section when R1 has 1 remaining tablet for 1 of the medications which does not match what should have left based on the recorded start date on LIC622 which poses a potential health and/or personal rights risks to person in care.

Based on observation, the licensee did not comply with the section cited above in saline solution, chest rub and nail polish remover in residents' rooms, and shovels and rakes in Bldg B's yardvwhich pose an immediate 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 not having some of the R2's medications and not administering the dosage for 1 of the medications listed on the After Visit Summary which pose an immediate health and/or personal rights risks to persons in care.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence ......... -This is requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section above for not sending report for R1 for fall incidents and alleged abuse.

87211 Reporting Requirements: (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required...... --This is requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section above for not sending the SOC341 while posed a potential safety and personal rights risks to person in care.

Based on observation, the licensee did not comply with the section cited above in following which pose a potential health, safety and/or personal rights risks to persons in care: vinyl flooring tiles in Bldg B coming off; mildew in the shower and broken faucet in Bldg B; chipped electrical outlet plate in one of the resident's rooms in Bldg A.

Based on record review, the licensee did not comply with the section cited above in R1 having doctor's order for Ferrous Sulfate but facility does not have this medication which poses an immediate health risk to persons in care.

Based on observation and record review, the licensee did not comply with the section when staff crossed-out one of resident's (R2) medications on the label which poses a potential 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 not having LIC622 for resident's (R1) medications filled on 10/02/24 & 10/21/24] which poses a potential health and/or personal rights risk to person in care.

Based on observation, the licensee did not comply with the section cited above in greasy cooking range and grease deposits in corner of flooring in the kitchen in Bldg A which pose a potential health, safety and/or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above for staff medications in unlocked which poses an immediate health and/or safety risks to persons in care.

Based on record review and interview, the licensee did not comply with the section cited above for S3 not having the reqjuired training which poses a potential health, safety and/or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above for S3 not having first aid training which poses a potential health and/or safety risks to persons in care.

Based on records review, the licensee did not comply with the section cited above. Four residents appraisals are over a year old which pose potentiial health and/or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. R4's LIC602A and reappraisal are over a year old. The LIC602A also indicated R4 is dependent on all ADLs; however, R4 can feed self. These pose potential health and/or personal rights risk to person

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence ......... -This is requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section above for not sending report for R1 when R1 AWOLed.

87457 Pre-Admission Appraisal - General (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission with the admission criteria.... -This is requirement is not met as evidenced by:-Based on records review and interview, the licensee did not comply with the section above for not completing Pre-Admission Appraisal for R1 and R2,

87463 Reappraisals(b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person.-This requirement is not met as evidenced by: - Based on records review and interview, the licensee did not comply with the section above for not bringing the changes and/or observation of R1 and R2's behaviors to the primary care phycian (pcp) and psychiatrist.