Aaa Jerusalem Stars

Based on observation, the licensee did not comply with the section cited above as the direct exit for Bedroom #3, which has fire clearance for bedridden, was obstructed with a metal pipe preventing it from opening. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the vinyl flooring in Bedroom #4 was peeling, restroom sinks were in unsanitary condition, and the toilet lid in Bedroom #4's restroom was not in good repair which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as two (2) window screens for the sliding doors in the living room and Bedroom #4 were uninstalled which poses 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 as the mattress in Bedroom #4 was in unsanitary condition and not equipped with mattress pads and appropriate sheets which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the lock for the knife drawer was non-functional resulting in knives being stored accessible. This poses an immediate 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 as the kitchen had an active fruit fly infestation in the pantry which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the slip-resistant mat in the hallyway restroom was in disrepair which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the trash can in Bedroom #4's restroom was in disrepair with a broken lid and no trash bag which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and medication review, the licensee did not comply with the section cited above as medications were stored in pill boxes for one week in advance and not their containers which poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above as drills are not conducted quarterly 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 as six (6) medication errors between start dates and logged were observed and an evening medication for R1 was being administered in the morning which poses an immediate health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in that two (2) auditory exit alarms were observed off and one (1) exit door did not have an auditory device installed which poses a potential health and safety risk to persons in care.

87464 Basic services (f)(1)(c) "Care and supervision" means the facility assumes responsibility for...ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered.This requirement is not met as evidenced by: Based on interview and record review, the facility did not comply with the above cited section as R1 was able to leave the facility unassisted which posed an immediate risk to residents' safety.

Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be... ensuring the following:(5)Each resident with dementia shall have an annual medical assessment...and a reappraisal...This requirement is not met as evidenced by: Based on record review, the facility did not comply with the section cited above as R1 has dementia and does not have an updated medical assessment and reappraisal which poses a potential health, safety, and personal rights risk to resident in care.

Based on record review, the licensee did not comply with the section cited above in two out of two staff didnot have the required training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in three out of three medications were not listed in the centrally stored and distruction record, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above as chemicals and cleaning solutions were accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above in five dead cockroaches were observed in kitchen cupboard below the oven, which poses an immediate health, safety or personal rights risk to persons in care.

Based on [(observation, the licensee did not comply with the section cited above in seven shaving razors were observed on the bathroom sink top, which poses an immediate health, safety or personal rights risk to persons in care.