Five Star Assisted Living

Require physician-written PRN medication directions

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 6 residents records missing PRN medication statement which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA record review of staff records. The licensee did not comply with the section cited above in that 3 of 4 staff files reviewed did not have the required documentation. This poses an immediate health, safety or personal rights risk to persons in care.

Facility must clear fire safety for bedridden persons

Based on LPA interviews with staff and Licensee disclosing 2 residents are bedriddent and LPA observations. The licensee did not comply with the section cited above in 2 of 6 residents are bedridden. This poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on LPA observations. The licensee did not comply with the section cited above in living room couch observed with tears and in need of replacement. Hallway vent/air filter observed dirty and in need of cleaning/replacement. Patio fan drooping and in need of replacement. Backyard fence observed leaning and with broken boards in need of repair. Dog feces observed on walkway and in yard in need of cleaning. This poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observations. The licensee did not comply with the section cited above in of front entrance observed with stairs and ramp without hand railing. Back door steps observed without hand railing. This poses a potential health, safety or personal rights risk to persons in care.

Freedom to leave and not be locked in

Based on LPA observation. The licensee did not comply with the section cited above in that the facility was observed with a locking pin and a hole at the bottom of the front door. This poses a potential health, safety or personal rights risk to persons in care.

Diet quality and preparation in safe healthful manner

Based on LPA observation of non-perishable food source. The licensee did not comply with the section cited above in non-perishable food source observed was not sufficient for 6 residents in care. This poses a potential health, safety or personal rights risk to persons in care.

Store toxic and hazardous substances safely

Based on LPA observation. The licensee did not comply with the section cited above in that over-the-counter medication observed in refrigerator and in kitchen cabinet unlocked and accessible. Tools observed in backyard unlocked and accessible. This poses a potential health, safety or personal rights risk to persons in care.

1569.683 Eviction notices; reasons for eviction contents; service (a)...reasons relied upon for the eviction, with specific facts...(2) Resources available to assist in identifying alternative housing and care options...(3) Information about the resident's right to file a complaint...(4)...statement: "In order to evict a resident..." (b)...serving a 30-day notice...shall notify, or mail a copy of the notice to quit to, the resident's responsible person. This requirement was not met as evidence by"LPA observation of the eviction notice submitted to R1 and responsible party. Eviction notice was not completed correctly. Licensee failed to include required verbiage and submit to CCL for approval. This poses a potential health, safety and or personal rights risk to resident in care.

(a) Persons ...a health condition including...shall not be admitted or retained in a residential care facility for the elderly:(2) Gastrostomy tubes. This requirement was not met as evidence by: LPA observation of R1 medical records, need and assessment and hopice care plan. R1 requires a higher level of care and no re-appraisal was completed. This poses a potential health, safety and or personal rights risk to resident in care.