Joyful Living Rche

Ensure hazardous items are locked and not unattended

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 sharp was in kitchen cabinet unlocked, which poses an immediate health, safety or personal rights risk to persons in care.

Permit PRN self-administration with written ability

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 out of Refresh Eyedrops Instill 1 drop per eye once per day was exposed to R1 which poses an immediate health, safety or personal rights risk to persons in care.

Document each PRN medication dose taken

Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 out of 3 medications, Polythylene Glycol, Midodine and Refresh eyedrops were given but not initialed/signed by staff which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on LPAs observation, the licensee did not comply with the section cited above in that improperly stored food with no dates, knobs observed accessible and exposed on top of stove, restrooms with toilet paper/paper towel not on holders, 1 out of 4 bathrooms observed to not have a non-skid mat in shower, laundry room hallway observed to have small hole in the wall, 2 out of 5 client room carpets observed to be in need of cleaning and torn at doorway area, chairs on patio area observed blocking walkway, water hose observed in the middle of walkway in backyard, seating area missing shade and gate near pool was observed broken in need of repair. Facility observed to be in need of general housekeeping. 1 of 2 chairs observed broken. Restroom #3 observed without functioning toilet, in need of repair. MARS observed incorrect. These pose a potential health, safety or personal rights risk to persons in care.

87555 General Food Service Requirements(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidence by LPA interviews and records review of residents menus showing residents being served soups/sandwiches 5 out of 7 days. This poses a potential health, safety and/or personal rights risk to residents in care.