Addie Meedom House

87461 Mental Condition:(a) The facility shall determine the amount of supervision necessary by assessing the mental status of the prospective resident to determine if the individual:(5)has a documented history of behaviors which may result in harm to self or others. This requirement is not met as evidenced by: Based on records reviewed, Licensee did not ensure the necessary supervision was given, resulting in resident being sexually assaulted. This poses an Immediate Health, Safety or Personal rights risk to persons in care.

87411 Personnel Requirements – General:(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure staff were suffiencent in number to meet residents needs and to prevent sexually inappropriate behaviors. This poses an Immediate Health, Safety or Personal Rights risk to persons in care.

87355 Criminal Record Clearance: (B) Any person, other than a client, residing in the facility. This requirement is not met as evidenced by: Based on interviews conducted, the Executive Directors spouse was reported to have stayed at the facility for up to a week at a time between March and September 2025. This poses an immediate Health, Safety or Personal Rights risk to persons in care. An immediate civil penalty is being issued in the amount of $500.

87211 Reporting Requirements: (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews conducted An incident occurred between two residents that was not reported to CCLD. This poses a potential Health, Safety or Personal rights risk to persons in care.

(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice...the reason for the increase, and a general description of the additional costs. This requirement is not met as evidenced by:Licensee did not notify residents of a Hospice fee. This poses a potential personal rights risk to residents.

Based on observation and record review, the licensee did not comply with the section cited above. Facility has five residents that require two person assistance and did not ensure suffient staff were on duty to ensure needs were met, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Staff provided resident a food item they were allergic to. This posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in Five of Six staff records. The records did not contain evidence of initial or ongoing training, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and a record review, the licensee did not comply with the section cited above. Licensee updated the Admission agreement and costs to the levels of care and did not submit changes to the Department, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Previous Administrator left employment on 01/05/2024 and Licensee did not notified the Department within 30 days, which poses a potential health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation:(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Based on interviews and records reviewed, Licensee did not ensure resident toilets were cleaned as needed. This poses a potential health risk to residents in care.