Follow-up·August 22, 2023

Citations

7 citations recorded^*CCLD

• 87303(a)Type A

  87303 Maintenance and Operation(a) The facility shall be...in good repair at all times. ...maintenance services and procedures for the safety and well-being of residents... This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having the air conditioning unit operable which posed a potential health and safety risk for persons in care.

• 87303(b)(2)Type B

  87303 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. Based on observation the Licensee did not comply with the section cited above in having a comfortable temperature in the bedrooms, which poses a potential health and safety risk to persons in care.

• 87211(a)(1)Type B

  87211 (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. Based on interview and record review, the Licensee did not comply with the section cited above in submitting and death report and incident report for residents, which poses a potential health and safety risk to residents in care.

• 87305(a)Type B

  87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement was not met as evidence by: Based on observation and record review the Licensee did not comply with the section cited above in obtaining a permit which poses a potential health and safety risk to persons in care.

• 87412(a)Type B

  87412 Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement was not met as evidence by: Based on record review and interview the Licensee did not comply with the section cited above in having a complete file for S2 which poses a potential health and safety risk to persons in care.

• 87465(h)(2)Type A

  87465 (h) The following requirements shall apply to medications which are centrally stored: (2) ... medicines shall be kept in a safe and locked place that is not accessible to persons other than employees... This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having medicine inaccessible to residents, which posed an immediate health and safety risk to persons in care.

• 87506(a)Type B

  87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility... This requirement was not met as evidence by: Based on record review and interview the licensee did not comply with the section cited above in having complete records for residents, which poses a potential health and safety risk for persons in care.

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