Lafayette Gardens

87507 Admission Agreements Based on interview conducted, Resident 1 (R1) has a diagnosis of Dementia and trying to get in contact with R1 POA to get all the documentation sign. Documents that was being provided is from the previous facility and not for this facility.

87705(b)(2) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(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 record reviews conducted, Resident 1 R1) has a diagnosis of Dementia, is confused/disoriented, has aggressive, wandering and sundowning behaviors. Administrator and facility staff interviewed state R1 was observed crawling under the bed, throwing flowerpots inside the room and pulling down picture frames on the wall.Despite observing R1’s aggressive behaviors, the facility did not provide safety measures to prevent R1 from sustaining bruises on both arms and a cut on R1’s left biceps which poses an immediate threat to the health and safety of clients under care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility(1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.. This requirement is not met as evidenced by:Based on interviews conducted, staff observed R1 with bruise, agressive, crawling under the bed, breaking pot plants but no medical appointment was arranged which poses a potential risk tohelath and safety of clients under care.

87705 (b)(1) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes. 87705 (b)(1) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes.

87705 (b)(1) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes. This requirement is not met as evidenced by:Based on interviews and record reviews conducted, facility did not notify R1’s Responsible Person on R1’s change in condition which poses an immediate risk to health and safety of clients under care.

87705(b)(2) Care of Persons with Dementia(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(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 record reviews conducted, Resident 1 R1) has a diagnosis of Dementia, is confused/disoriented, has aggressive, wandering and sundowning behaviors. Administrator and facility staff interviewed state R1 was observed crawling under the bed, throwing flowerpots inside the room and pulling down picture frames on the wall.Despite observing R1’s aggressive behaviors, the facility did not provide safety measures to prevent R1 from sustaining bruises on both arms and a cut on R1’s left biceps which poses an immediate threat to the health and safety of clients under care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 5 residents didn't update needs and services plan annually on file poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 5 residents who have dementia didn't updated physician's report annually which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA observed unlocked knives in the kitchen which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and records review, licensee did not comply with the section cited above. LPA observed centrally stored medications in the dinning room was left unlock which poses an immediate health, safety risk to persons in care.