Blue Pearl Home Care Ii

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA and S1 observed at 11:22AM, S2’s medications unlocked in staff room. At 11:32AM, LPA and S1 observed laundry liquid fabric softener and S2’s medication bottle unlocked in the garage, accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and records reviewed, R2 is not hospice care and is using a hospital bed with full rail with doctor’s order, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Based on interview conducted, observation, and records reviewed, R1 has a restricted health conditions with no restricted health condition care plan on file or in placed, poses/posed a potential health and safety and personal rights risk to the resident in care.

Give PRN medication by physician order

Based on interviews conducted, observation and records reviewed, R1’s medications Vitamin D3 was not administered on 02/17/26 in the morning. R1’s medication Mucus Relief was not administered on 02/16/26 in the evening and not administered on 02/17/26 in the morning. 2 out 11 of R1’s medications were not administered as prescribed by physician, which poses/posed an immediate health and safety risk for the person in care.

Conformance with applicable laws and regulations

Based on observation, Fire Extinguisher has a last purchase date of 01/29/24, which poses an immediate health and safety risk to the residents.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA, Licensee and S1 observed at 1:40PM, knives stored in kitchen drawer next to the stove unlock. Laundry detergent bottle and two cleaning chemical bottle was observed on top of the dryer in the laundry room unlock. A bottle of bleach was observed on the inside the garage on the side wall unlock. Tools were observed in kitchen drawer under kitchen counter by the medication shelf unlocked and accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on interviews conducted, observation and records reviewed, R1’s medication Duloxetine 60 mg, Amlodipine Besylate 10mg, and Gabapentin 300mg were not administered as prescribed by physician. R2’s medication Fluoxetine Hcl 20mg, Levothyroxine 50mcg, Melatonin 5mg, Mirtazapine 15 mg, Hydroxyzine Hcl 25mg, Atorvastatin 10mg, Escitalopram 10mg, Fluticasone HFA 110mcg, Furosemide 20 mg, and Spironolactone 25mg were not administered as prescribed by physician for which poses an immediate health and safety risk for the person in care.

Record dose details and resident medication response

Based on interviews conducted, observation, records reviewed, R1’s medication Hydrocodone/ Apap 10/325 mg was not record in the R1’s MAR. R1’s medication Risperidone 25mg, Clopidogrel 75mg were administered on 03/01/25 and 03/02/25, staff did not record on MAR. R2’s medication Atorvastatin 10mg, Melatonin 5mg, and Mirtazapine 15mg were administered on 03/01/25 and 03/02/25, staff did not record on MAR. R2’s medication Fluoxetine Hcl 20mg, Levothyroxine 50mcg, Losartan Potassium 50mg, and Triamcinolone 0.1% cream were administered on 03/02/25, staff did not record on MAR for which poses an immediate health and safety risk for the person in care.

Record centrally stored prescriptions and refill data

Based on records review and interview conducted, R1’s medication Losartan 50mg bottle filled on 08/28/24 was observed in the resident’s medication basket not recorded in the Centrally Stored Medication Record (Lic 622) which poses/posed a potential health and safety risk for the person in care.

Based on interview conducted and observation, R1 has a full rail bed with no exception granted by the department and no physician order, which poses an immediate health and safety risk to the residents

Limit staff assistance with self-administered drugs

Based on observation, the licensee did not comply with the section cited above when LPA and Licensee reviewed all the residents’ medications and observed multiple medications were not accounted for which poses an immediate health and safety risks to persons in care.

Record centrally stored prescriptions and refill data

Based on observation, the licensee did not comply with the section cited above when resident’s medication and MARs was reviewed and observed medications were not logged into residents’ Centrally store medication log, which poses a potential health, safety or personal rights risk to person in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA and A1 observed cleaning chemicals and gardening tools in the garage stored unlocked accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Applicant and licensee fees are charged by statute

The facility annual fee is overdue with a past due amount of $1,237.00. This is poses potential health and safety risk to residents in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA and Licensee observed knives stored in drawer unlocked, two laundry detergent stored in unlocked cabinet in laundry room, and multiple paint cans next to a bottle of bug spray in garage unlocked. The knives and chemicals were unlocked and accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

87616 Exceptions for Health Conditions(b) Written requests shall include, but are not limited to, the following: (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility. This requirement was not met as evidenced by LPA's records review and interviews. Facility did not request an exception for a prohibited condition for R1 while R1 was receiving Home Health Care services at the time of admission.