Carrillo Manor

Based on observation, interview, and record review, the licensee did not comply with the section cited above Administrator Carrillo was unable to provide a document from the physician for bed rails approval for C2-C3 which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in LPA observed with Administrator Carrillo in the kitchen in the unlocked cabinets above the fridge a (3) sprag cans Thompson's WaterSeal (water proof exterior surfaces), Zep Heavy Duty Foaming (Degreaser), Resolve (Carpet Cleaner). Backyard LPA observed with Administrator Carrillo (2) bottles Ortho and Spectracide (Insect Killer) which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above in LPA observed with staff #1 (S1) in the office area (3) individual pills in an unlocked drawer located in the office area. In the unlocked metal file cabinet in the hallway LPA observed with S1 an Advion Cockroach Insecticide 1.06 oz (30g). LPA observed with Administrator Carrillo in a plastic container medication in the unlocked end table in Room 4, which was unlocked and as accessible to residents. The medication observed in a plastic container was Haloperidol Injection, BD Intega Syringe 25G/3ml, Ipratropium Bromide and Albuterol Sulfate Solution, Hyosyne 0.125, and Eliquis which poses an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on observation , the licensee did not comply with the section cited above During medication review of resident #1 (R1) and R2 it was observed medication was not given as prescribed by the physician for the month of November 2024. R1's AM Medication - Midodrine Hcl 5mg (Take 1 tablet by mouth daily for Hypertension) were still in the bubble 11/1/24 and 11/2/24 despite been marked on the Nov 2024 medication sheet as given. R1's Medication - Tramadol 50mg ( Take 1 tablet by mouth prior to movement or may give every 6hrs for pain) on the Nov 2024 medication sheet it was initialed by staff as being given 11/1/2024 -11/18/24 despite only (15) pills being removed from the bubble pack.R1's Medication - Haloperidol 5mg (Take 1 tablet by mouth every 6hrs as needed) on the Nov 2024 medication sheet it was initialed by staff as being given 11/1/2024 -11/18/24 despite only (11) pills being removed from the bubble pack.R1's Bedtime Medication- Senna 8.6 mg (Take 1 tablet by mouth at bedtime) on the Nov 2024 medication sheet for 11/18 was already intialed by staff as being given despite still being in the bubble pack. R1's Bedtime Medication - Mirtazapine 7.5 mg( Take 1 tablet by mouth at bedtime) on the Nov 2024 medication sheet for 11/18 was already initialed by staff as being given despite still being in the bubble pack. R2's AM Medication (Take 1 tablet for Hypertension) on the Nov 2024 medication sheet for 11/18 was initialed by staff as being given despite still being in the bubble pack which poses an immediate health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation, the licensee did not comply with the section cited above In the backyard LPA observed with Administrator Carrillo a mattress with metal frame in the back yard near the laundry area which poses/posed 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 water temperature measured between 96.2-97.4 degreed f, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on (observation the licensee did not comply with the section cited above as the facility contained an inoperable car, wood and debris in the back yard, which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Water temperature was tested between 84.3-99.3 in both facility bathroom and kitchen, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

During the tour of the facility, LPA observed alot of storage materials and debris located in the backyard, which poses/posed a potential health, safety or personal rights risk to persons in care.