Pathway Homes

Right to sufficient care and qualified staff

This report was amended.87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a)...residents...shall have all of the following personal rights: (4) To care, ...services that meet their individual needs ...This requirement is not met as evidenced by: This report was amended.Based on records review and interviews, LPA found that LIC and S1 admitted to telling R1 to transfer or move by R1’s self because R1 can do it. LIC states R1 is stubborn and refuses to use the wheelchair or walker to assist R1’s self with transfers or moving about, which has resulted in falls. R1’s records show R1 has extensive assistance need for bed mobility, transfers, and movement within the residence. Which poses a potential health, safety, or personal rights risk to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: LPA found that on 5/18/22, staff (S1) discovered the overflow bottle of Acetaminophe/codei 300-30 mg Qty: 90 for R1 that was filled on 5/11/22 was missing as S1 was getting ready to log the start date of the overflow bottle for the next day's administration, this poses an immediate health or personal rights risk to residents in care.

Onsite food stock levels for nonperishables and perishables

87555 General Food Service Requirements (b) The following food service requirements shall apply:(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met: Based on observation and interviews Licensee does not have a minimum of one week nonperishable foods or a minimum of two days of perishable maintained at the facilty which poses a potential Health, Safety or personal rights risk to the clients in care.

87608 Postural Supports (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement was not met by Based on observation and records review R1 did not have a physician order for full bed rails which poses an immediate Health, Safety or personal rights risk to the clients in care.

Admission agreement signing and dating deadline

87507 Admission Agreements (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement was not met as evidenced by: Based on review of records Licensee did not have a signed admissions agreement for R1, which poses a potential Health, Safety or personal rights risk to the clients in care.

80065 Personnel Requirements(g) All personnel, including the licensee, administrator and volunteers, shall be in good health, and shall be physically, mentally, and occupationally capable of performing assigned tasks.(2) A health screening report signed by the person performing such screening shall be made on each person specified above, and shall indicate the following:(A) The person's physical qualifications to perform the duties to be assigned. This requierment was not met evidenced by: Based on review of records staff did not have Health Screening signed by a physician which poses a potential Health, Safety or personal rights risk to the clients in care.

Facility personnel sufficiency and competence

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 observations, interviews, and record review, LPA found that staff are listed as scheduled at both facility and LIC's facility next door. LIC admits staff will go work at facility next door to help and is not barred from doing so when working alone. This poses a potential health, safety, and personal rights risk to residents in care.