Inspection visit
Routine inspection
Inspector’s narrative
What the inspector wrote
Citations
10 citations recorded*CCLD
What does Type A vs Type B mean?
Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.
Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.
- 1569.319(a)Type B
Based on interview, the licensee did not comply with the section cited above per information provided by the Administrator that the facility has internet but does not have any computers, tablets, smart phone or any other devices available to dedicate for the residents' use. Only one resident has own computer which poses/posed a potential health, safety or personal rights risk to persons in care.
- 1569.319(b)(1)Type B
Based on interview the licensee did not comply with the section cited above and does not have a policy in place to address how the facility will make a device accessible to the residents in care to have discussions of personal or confidential information which poses/posed a potential health, safety or personal rights risk to persons in care.
- 1569.319(b)(2)Type B
Based on interview, the licensee did not comply with the section cited above as the facility does not have a policy in place as to how they will make the computer, tablet or other devices accessible among the residents in the facility during reasonable hours, which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87465(a)(6)Type B
Based on record review, the licensee did not comply with the section cited per review of the MAR logs reviewed. The Licensee is inconsistent about updating the MAR log when medications are dispensed. Per review of the August 2023 MAR log, medications dispensed from 8/24/23 through 8/31/23 were not updated. Also, MAR logs from March 22, 2022 through July 2023 were not maintained,which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87465(c)(1)Type A
Based on record review, the licensee did not comply with the section cited above per information provided by the Administrator, one resident has dementia and one is able to make own decision. However, the physician has not been contacted to make a final decision if either resident is or is not able to make their own decision which poses an immediate health, safety or personal rights risk to persons in care.
- 87465(c)(3)Type B
Based on record review and interviews, the licensee did not comply with the secction cited above per information provided, the facility does not document any dates of contact made with the physician, does not document the physician's instructions, the date the PRN's were dispensed, the dosage or the results of the dosage, which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87465(d)Type A
Based on interview, the licensee did not comply with the section cited above since the Administrator has not established with the prescribing physician if Resident #5 is able to make own decision to request the medications other than the licensee's own observation which poses an immediate health, safety or personal rights risk to persons in care.
- 87465(e)Type A
Based on file review, the facility does not have any physician's order on file for any of the centrally stored medications which poses an immediate health, safety or personal rights risk to persons in care.
- 87465(h)(2)Type A
Based on observation, the licensee did not comply with the section cited above per review of medications, HumulinN prescribed for Resident #4 was stored on the refrigerator door in a zip lock bag which poses an immediate health, safety or personal rights risk to persons in care.
- 87467(a)(3)Type B
Based on record review, the licensee did not comply with the section cited above per review of all 5 resident files reviewed. Resident #1 through Resident #4 have not had a annual reappraisal review since as far back as 2013 and 2018, which poses/posed a potential health, safety or personal rights risk to persons in care.
FAQ · About this visit
Common questions about this visit
What happened during the August 31, 2023 inspection of EMVY BOARD AND CARE FACILITY?
This was a inspection inspection of EMVY BOARD AND CARE FACILITY on August 31, 2023. 10 citations were issued: 4 Type A (serious) and 6 Type B.
Were any citations issued to EMVY BOARD AND CARE FACILITY on August 31, 2023?
Yes, 10 citations were issued (4 Type A, 6 Type B). The first citation was for: "Based on interview, the licensee did not comply with the section cited above per information provided by the Administra..."
What type of inspection was this?
This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.
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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.