Country Crest Assisted Living

87303 (a) Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This was not met as evidenced by: LPA observed common area to be too warm, gnats flying in all areas of the facility, dead and alive cock roaches in common area, memory care kitchen and utility room, 1 resident room flooring in disrepair, sewage smell in the main kitchen, flood damage in the elevator utility room sticky floor throughout the facility.

87355(c) Criminal Record Clearance (c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility. This requirement is not met as evidenced by: Based on file review the licensee did not comply with the section cited above as S1 was working in but was not associated to the facility which poses an immediate health, safety, or personal rights risk to persons in care.

87468.2(a)(8) Additional Personal Rights of Residents in Privately Operated Facilities (a)(8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidenced by: Based on document review and interviews the licensee did not protect R1 from being financially abused by S1 resulting in significant financial loss to R1. This poses an immediate Health, Safety and Personal Rights risk to clients in care.

Based on LPA observation the licensee did not comply with the section cited above in 3 of 10 bathroom lightbulbs and 1 of 10 bathroom fans which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA record review the licensee did not comply with the section cited above in 4 of 4 staff files which poses a potential health, safety or personal rights risk to persons in care.

87303(b)(2) Maintenance and Operation - (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement is not met as evidenced by: Based on observation, interviews, and records review it was determined that the licensee was aware that the air conditioning units were in need of repair / replacement in Summer 2022 and did not replace or repair the units until Summer 2023 which poses a potential health and safety risk to residents in care.

Based on observation the licensee did not comply with the section cited above in 2 of 4 resident rooms which poses a potential health, safety risk to persons in care.

87411(a) Personnel Requirements - General 87411(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on LPAs interviews of staff and records review it was determined that the licensee did not provide adequate care and supervision to R1 which resulted in R1 eloping to the outside patio area in the Memory Care unit of the facility on a hot day for a prolonged period. This resulted in the resident suffering from heat stroke and burned legs which poses an immediate health and safety risk to residents in care.