Cathedral Care Home

Based on observation and interview, the licensee did not comply with the section cited above in having a bedroom with a bed in the garage, without an inspection by the fire department which poses a potential safety risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above in medication on table next to a resident who was eating breakfast and by having the medicine cabinet unlocked which poses an immediate health and safety risk to persons in care.

Include required health screening documents

Based on record review, the licensee did not comply with the section cited above in not having S2 and S3 Health Screening available during personnel record review which poses a potential health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above in having medications in an unlocked cabinet which poses an immediate health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

Based on observation, the licensee did not comply with the section cited above in having knives in an unlocked kitchen drawer accessible to residents with dementia which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in residents not having top bed sheets which poses a potential health, safety or personal rights risk to persons in care.

Fire approval and staff access to unlock systems

Based on observation, the licensee did not comply with the section cited above in having laundry detergent in the unlocked garage and unlocked shed in the backyard with gardening supplies which poses an immediate health, safety or personal rights risk to persons in care.

Each terminal resident needs a written hospice care plan

A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidenced by staff not providing accurate dosage of medications to resident which posed a potential health & safety risk to resident in care.

Fire approval and staff access to unlock systems

Based on observation the licensee did not comply with the section cited above medication was accessible to resident/s in care, disinfectant cleaner accessible to resident in care which poses an immediate health, safety or personal rights risk to persons in care.