Routine inspection·February 28, 2023

Citations

4 citations recorded^*CCLD

• 87309(a)Type A

  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.

• 87458(a)Type B

  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.

• 87608(a)(3)Type B

  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(a)Type B

  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.