Ideal Care Centers

Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Modified diets for medical necessity

Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. LPA observed S1 serve R1 lunch which was not prepared according to the physician prescribed special diet "Mechanical Soft Blended. R2, R3, R5 have special diet orders and R6 has an order that needs to be clarified by Physician. This poses an immediate health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. During this visit, LPA observed the following: General cleaning needs- baseboards, wall, lightswitch cleaning, Wall & doorway molding damage from wheelchair contact, water damage in R6 closet carpet & baseboard, taped transition board in entryways, broken plastic bins in backyard, kitchen drawers to be cleaned out, broken tiles

Resident access to hazardous items with safety review

Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Per current Physician Reports, the following residents are at risk if allowed access to grooming and hygiene items: R1, R2 and R5. Additionally, R1, R3, R4 & R5 have Dementia. Hygiene items were observed in the rooms of R4, R6, R5/R3 (shared).

Based on observation, the licensee did not comply with the section cited abovewhich poses an immediate health, safety or personal rights risk to persons in care. Administrator (AD) did not maintain the Fire Clearance. There are 2 self releasing gates/exits from the back to front yard. One gate was locked and staff was not able to unlock. The other was very difficult to open. The knob is in disrepair and the gate requires to be lifted and pushed to open. This poses an immediate health and safety risk to residents in care.

Allow licensing inspection and controlled record removal

Based on interview, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA requested staff files to review during this Annual Inspection. LPA was informed the files are not maintained at the facility. Licensee was contacted and unable to provide the files so LPA could not conduct audit of staff files and training today.

Update reappraisal at required intervals

Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Residents do not have current reappraisals. Needs and Service (or Care Plans) which were reviewed were ALW plans dated 10/13/23-4/30/24. Residents with Dementia or Changes of condition are not noted, the plans are not current. This poses a potential health & safety risk to persons in care.

Agree in writing on agency and facility responsibilities

Based on record review and interview, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. The facility does not have a written agreement with the Home Health Agency for R2.

Based on interview and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. The Administrator is names as the Infection Control Lead. AD has not been trained as the Lead as required.

Ensure hazardous items are locked and not unattended

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement was not met as evidenced by: Licensee did not ensure that items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. LPA observed a package of disposible razors in a resident bathroom drawer.This poses an immediate health, safety or personal rights risk to residents in care.

Obtain baseline medical assessment before resident admission

87458 Medical Assessment (a) Prior to a person's acceptance... the licensee shall obtain and keep on file, documentation of a medical assessment... made within the last year...This requirement was not met as evidenced by: Licensee did not ensure R1, R2 or R3 did not obtain an updated Physician's Report (PR). R1's PR dated, 8/13/16 with dx of MCI, R2's 3/2/17 dx of Dementai, R3's 8/24/21 is incomplete. R2 and R3's PR state unable to perform glucose or insuilin injections.

Maintain physician order documentation in resident record

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal…Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record… This requirement was not met as evidenced by: Licensee did not ensure that a written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. R1 has a wheelchair seatbelt and R3 has half side rails on a hospital bed.

87629 Injections (a) The licensee shall be permitted to accept or retain a resident who requires intramuscular, subcutaneous, or intradermal injections if the injections are administered by the resident or by an appropriately skilled professional.This requirement was not met as evidenced by: Licensee did not ensure injections are administered by the resident or by an appropriately skilled professional. R1 has Diabetes and requires blood sugar and insuilin assistance. There are no orders or proof of training at the facility. R2 requires blood sugar readings. No orders or proof of training are available at the facility.

Keep bath, laundry and kitchen floors clean

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement was not met as evidenced by: Licensee did not ensure that the facility was sanitary and in good repair. LPA observed broken light switch panels, unsecured baseboard in bathroom, soiled resident carpet, bed linens and matress.***This poses a potential Health & safety risk to persons in care.

Ensure hazardous items are locked and not unattended

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement was not met as evidenced by: Licensee did not encure that Disinfectants, cleaning supplies and sharps were inaccessible to clients. Cleaning supplies and sharps were not locked.This poses an immediate health and safety risk to persons in care.