Follow-up on corrections·January 18, 2023

Citations

5 citations recorded^*CCLD

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  87303 Maintenance and Operation (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 LPA's observations in being that 3 of 6 rooms observed with shower not funtioning or not functioning properly. This is a potential personal rights, health or safety risk to residents in care.

• 87468.1(11)Type B

  87468.1 Personal Rights of Residents in All Facilities (11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement was not met as evidence by LPA observation of a sign at the front entrance stating “visitors limited due to renovations” (renovations started 11/14/22). This poses a potential personal rights, health and/or safety risk to residents in care.

• 87555(g)Type B

  87555 General Food Service Requirements(9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidence by LPA observation of food in kitchen improperly stored in freezer (food observed with freezer burn and in incorrect freezer bags. This poses a potential personal rights, health and/or safety risk to residents in care.

• 87705(f)(2)Type B

  Fire approval and staff access to unlock systems

  87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met as evidence by LPA observation of laundry room unlock with chemicals accessible to residents with dementia. This poses a potential personal rights, health and/or safety risk to residents in care.

• 1569.69(b)Type A

  §1569.69 Employees assisting residents with self-administration of medication; training requirements.(b) Each employee who received training...and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication related issues in each succeeding 12-month period. This requirement was not met as evidenced by LPAs interview with Administrator and records review of staff training show last medication training's for current staff were in 2019. If not corrected, this poses a potential risk to residents in care.