Carrie's Board and Care

87468.1(a)(3)(6) 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: To be free from punishment,humiliation, intimidation… other actions of a punitive nature,... (6)To leave or depart the facility at any time and to not be locked intoany room, building, or on facility premises by day or night. This does not prohibit a licensee from …such as locking doors at night toprotect residents…with permission from the Department. This requirement is not met as evidenced by: Based on observation, the staff did not meet the requirement due to placing a nail to prevent residents from opening front door, and threatening residents. The Administrator removed the nail from front door frame during the inspection visit.

1569.887 (a)(c) Signature of resident on admission agreement; copy of agreement to go to resident or resident’s representative; review. (a) The admission agreement shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative. (c) The licensee shall provide a copy of the signed and dated admission agreement to the resident or the resident's representative, if any. (d) The admission agreement shall be reviewed at the time of the compliance visit and in response to a complaint involving the admission agreement. This requirement is not met as evidenced by: Based on information obtained, the Licensee did not comply with the above citation, as one (1) out of four (4) residents' records were not available at facility upon request for review, which poses a potential health and safety risk to residents.

87468.1 (b)(8)-Deny or restrict medical or nonmedical care that is appropriate to a resident’s organs and bodily needs or provide medical or nonmedical care to the resident in a manner that, to a similarly situated reasonable person, unduly demeans the resident’s dignity or causes avoidable discomfort. This requirement was no met as evidenced by: Based on interviews the licensee did not comply with the above regulation as R1 sustained a fall, with visible bruises to the left side (forehead, wrist and knee) and pain in knee, and timely medical attention was not provided which poses a potential personal rights risk to residents in care.

The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff, and emergency personnel…This requirement is not met as evidenced by: Licensee did not comply with the above citation, as one (1) out of four (4) residents' records were not available at facility upon request for review, which poses a potential health and safety risk to residents.

87311 TelephonesAll facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility.This requirement is not met as evidenced by: Based on interviews and observation the licensee failed to comply with the section cited above as the facility's telephone was observed to fail to make telephone calls which poses a potential personal rights and safety risk to clients in care.

87457 (c) Pre-Admission Appraisal - General (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as R1 did not have pre-admission appraisals, which posed a potential health, safety or personal rights risk to persons in care.

87468.2(a) (4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on medical records, licensee did not comply with the section cited as staff did not provide the necessary care and supervision resulting in R1 sustaining pressure injuries while in care, which posed an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above as staff did not have the required training 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 there were disinfectant wipes and alcohol accessible which poses an immediate health risk to persons in care.