Follow-up on corrections·January 17, 2025

Citations

6 citations recorded^*CCLD

• 87217(h)Type B

  87217 Safeguards for Resident Cash, Personal Property, and Valuables(h) Immediately upon admission, residents' cash resources entrusted to the licensee and not kept in the licensed facility shall be deposited in any type of bank, savings and loan or credit union account, which is maintained separate from the personal or business accounts of the licensee, provided that the account title clearly notes that it is residents' money and the resident has access to the money upon demand to the licensee. This requirement was not met as evidence by: Based on LPA observation, the licensee did not comply with the section cited above in that residents do not have personal accounts and money is being comingled. Facility staff is not providing P&I and clothing allowance money to residents in a timely manner. This poses a potential health, safety and or personal rights risk to persons in care.

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• 87555(b)(3)Type B

  87555 General Food Service Requirements(b) The following food service requirements shall apply:(3) Between-meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. This requirement was not met as evidence by: LPA observation of limited snacks (3 pks of cookies) only being available to residents in care.

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  (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. This requirement was not met as evidence by: Dishwasher non-functioning. Pool non-functioning & has dirty water. Mattress in R1's bedroom in need of replacement. R1's bedroom in need of touch up paint (near bed & near closet). Bedroom #2 restroom has broken tiles. Laundry room observed with holes in wall. Vent in laundry room in need of cleaning. Bedroom #3 door in need of repair. Bathroom #2 observed with bathtub and sinks in need of resurfacing. Bathroom #2 cabinets in need of repair or replacement. Bathroom #2 toilet missing toilet cover. Bathroom #3 in need of paint around toilet. Backyard patio roof observed with holes in need of repair. Garage observed with debris in need of removal. Large left side gate broken and in need of repair. Wires exposed on HVAC unit in need of repair. Right side gate does not latch properly and observed with broken board in need of repair. Driveway observed with missing concrete in need of repair. Kitchen observed with spider webs/dust above stove. Kitchen tiles broken and in need of replacement near sink and on counter. These poses a potential health, safety and or personal rights risk to residents in care.

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• 1569.319(b)(1)Type A

  (b) A licensee shall ensure the following requirements are met in providing any internet access device for resident use: (1) The device shall be available in a manner that allows a resident to access it for discussion of personal or confidential information with a reasonable level of personal privacy. This requirement is not met as evidenced by:Based on LPA observation, the licensee did not comply with the section cited above in that the facility has a computer in the living room that does not have a camera and is inaccessible to residents. Facility does not have a device for resident use. This poses an immediate health, safety or personal rights risk to persons in care.

• 87555(a)Type A

  Diet quality and preparation in safe healthful manner

  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 observation of food stored in the refrigerator. Residents do not have the required food source. This poses a potential health, safety and or personal rights risk to residents in care.

• 87219(a)(1)Type B

  (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include: (1) Socialization, achieved through activities such as group discussion and conversation, recreation, arts, crafts, music, and care of pets. This requirement is not met as evidenced by:Based on LPA interviews, the licensee did not comply with the section cited above in that facility does not have activities for the residents. This poses a potential health, safety or personal rights risk to persons in care.