Routine inspection·July 24, 2024

Citations

8 citations recorded^*CCLD

• 87211(a)(D)Type B

  Based on interview and observation, the facility failed to notify the department the facility bathroom is being repaired which poses a potential health and safety risk for the residents in care.

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Based on observation, the licensee did not comply with the section cited above when LPA observed cleaning chemicals in the laundry room stored unlock accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

• 87412(c)Type B

  Document required staff training and orientation

  Based on records reviewed and interviews, facility do keep staff trainings records on file and are shredded every year which poses a potential health and safety risk for the person in care.

• 87465(c)(2)Type A

  Give PRN medication by physician order

  Based on records reviewed and observation, LPA reviewed R2’s MARs and audit medications. R1’s medication Olanzapine and Lorazepam were not administered as directed by physician which poses an immediate health and safety risk for the person in care.

• 87465(d)(3)Type B

  Record dose details and resident medication response

  Based on interviews, observation, and records reviewed, R2’s medications Cholecalciferol and Rosuvastatin were administered daily and were not recorded in the resident’s MARs which poses a potential health and safety risk for the person in care.

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  Based on observation, the licensee did not comply with the section cited above when LPA and Administrator Assistant observed R3’s medication that required refrigerated stored unlock in the refrigerator accessible to residents poses an immediate health, safety or personal rights risk to person in care.

• 87468.1(a)(2)Type A

  Safe, healthful, comfortable accommodations

  Based on observation, LPA and Licensee observed S1’s medication stored the refrigerator unlock which poses an potential health and safety risk to the residents.

• 87608(5)(B)Type B

  Based on observation and records reviewed, R1 was observed in a full rail bed with no physician’s order which poses a potential health and safety risk for the person in care.