Bella Vista

Based on interview, record review, the licensee did not comply with the section cited above in that first aid/CPR training in (2) out of (5) staff files reviewed were expired which poses/posed a potential health, safety or personal rights risk to residents in care.

87303..Maintenance and Operation..(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include.. maintenance services .. for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on LPA’s observations during the physical plant tour and interviews, LPA observed dead roaches in R1's bedroom and bathroom which poses a potential health, safety, and/or personal rights risk to the residents in care.

Based on observation, the Administrator did not comply with the section cited above in which (2) out of (5) random resident rooms inspected did not meet the required water temperature readings. Room #32 (101.3 deg F) and Room #35 (95.3 deg F) which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on observation, the Administrator did not comply with the section cited above in that LPAs observed drain flies inside the bathroom in Room #9 which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on observation, the Administrator did not comply with the section cited above in that one of the washing machines in the laundry room is inoperable and missing a door which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on observation, record review, the Administrator did not comply with the section cited above in that LPAs observed 1/2 bedrail in C2's bedroom (Room #8) and facility cannot provide a written order from C2's physician which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on observation, the Administrator did not comply with the section cited above in that the facility does not have an evacuation chair at each stairwell available to facility staff during an emergency which poses/posed a potential health, safety or personal rights risk to residents in care.

Personal Rights of Resident in all Facilities.Each resident shall be accorded dignity in his/her personal relationships with staff, residents and other persons.On 6/1/23 LPA Calderon interviewed staff(s) and resident(s). S1 admitted hand gestures and that at the time did not think R1 would take offensively.R1 stated gesture and how matter was approached was inappropriate felt that S1 made her feel uncomfortable.

87470 nfection Control Requirements (c)An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The infection control plan shall include of the following: (F) Staff shall demonstrate knowledge of and skill in infection control, as appropriate to the job assigned and as evidenced by safe and effective job performance. The requirement is not met as evidenced by: LPA observation, LPA observed S2 did not wear mask while talking to the visitor which posed an potential risk to residents in care.