Starlight Facility Inc.

Based on record review, the licensee did not comply with the section cited above as three (3) resident’s CSMDRs had medications quantity and strength improperly documented, one CSMDR contained inaccurate administration instructions for one (1) medication and one (1) additional medication was not logged on the CSMDR which posed a potential health risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above as one resident's bed was observed to fontain full bed rails which posed a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one identified resident's file did not contain proof of a negative TB test which poses a potential health risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one resident was identified as not having an initial personal property inventory completed at the time of admission which poses a potentia personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited aboveas one resident's admission agreement was not signed within 7 days of residing at the facility which posed a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as the pre-admission appraisal for one identified resident was not completed prior to admission to the facility which poses a potential health, safety or personal rights risk to persons in care.

87465(c)(2) Incidental and Medical Care: ....Once ordered by the physician the medication is given according to the physician's directions.This requirement has not been met as evidenced by: Based on interviews and medication audit, the licensee did not comply with the section cited above as R1 did not receive 1 of their medications as prescribed and did not receive 2 of their medications in one occassion,which poses an immediate health and safety risk to residents in care.