Royal Care

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPAs and Administrator observed knives unlock in kitchen drawer, cleaning chemicals unlock in laundry shelf and in garage cabinet accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on observation resident 1 (R1) medication was checked and MARs was reviewed. Two out of six medications were not administered as directed by staff which poses an immediate 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 when LPAs and Administrator observed refrigerate medications stored unlocked in the small black refrigerator accessible to residents in care this poses an immediate 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 1 out of 1 areas where LPA(s) observed unlocked backup medication in a cabinet in the office which poses an immediate health, safety or personal rights risk to persons in care.

Maintain required personnel records for staff

Based on observation and record review, the licensee did not comply with the section cited above in 3 out of 3 staff files; review showed no forms available at the facility for Licensee except for Administrator License which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on observation and record review, the licensee did not comply with the section cited above in 3 out of 3 medication audit of three individuals that revealed medication that was noted given was not which poses an immediate health, safety or personal rights risk to persons in care.

Handle syringes and needles under bloodborne pathogen rules

Based on observation, the licensee did not comply with the section cited above in 1 out of 1; used insulin sharps are kept in emptied laundry detergent/softener container, but were not labeled as BIOHAZARDOUS WASTE or SHARPS WASTE. which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in 3 out of 3 areas; unlocked disinfecting spray, Dish soap observed under kitchen sink. Antiseptic Alcohol observed in unlocked cabinet above washing machines. Laundry detergent, bleach, and used syringes observed in unlocked garage which poses an immediate health, safety or personal rights risk to persons in care.

87217 Safeguards for Resident Cash, Personal Property, and Valuables(g)(1): Records of residents' cash resources maintained as a drawing account shall include a ledger accounting (columns for income, disbursements and balance) for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current. This requirement was not met as evidenced by: Based on interviews and record review, Licensee did not maintain accurate records of cash resources for R1, which posess a potential health and safety risk to client in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPAs observed 1 bottle of Comet under under the laundry sink in the hallway accessible to residents in care, this poses an immediate health, safety or personal rights risk to persons in care.