Pathway Homes

Give PRN medication by physician order

87465 Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions.***This requirement was not met as evidenced by: R1 stated during interview that there have been several times that staff have provided R1 with medication to drink directly from the medication bottle and not administered as directed by the physician.

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. ***This requirement was not met as evidenced by: Two out of two residents stated that they are not given privacy when being changed or bathed, residents stated that door is often left open when staff are providing care to them. While conducting investigation and touring the facility, LPAs observed staff dressing R1 and preparing to transfer them to their wheelchair with bedroom door open.

Based on observation and interview, Licensee did not ensure a restricted health care plan for R3s restricted health condition, which poses/posed a potential health, safety or personal rights risk to persons in care.

Requirement for building permit before construction

Based on observation, the licensee did not comply with the section cited above in that Licensee altered the facility by installing a sliding glass door in room labeled " Bedroom #2" in the facility sketch.which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in that R1's bed rail extends to more then half the length of the bed. Administrator provided a doctor note for R inidicating " Ok to use hospital bed with 1/2 rail." However, the rails extends more than half of the length of R1's bed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Fire approval and staff access to unlock systems

Based on observation, the licensee did not comply with the section cited above when LPA observed at 11:04AM, cleaning chemicals stored under kitchen sink unlock accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.