Compassionate Elderly Care Management Systems, Inc

Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 6 residents were missing their Pre-Appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above in 4 out of 6 residents were documented to be non-ambulatory/bedridden on their Physician Reports which is not current with their fire clearance which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 of 2 residents medications checked were not updated correctly on their medication log which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 6 residents were missing their Re-Appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's record review, the licensee did not comply with the section cited above as S1 has no health screening record on file which poses a potential health and safety risk to the residents in care.

Based on LPA's record review the licensee did not comply with the section cited above in 1 out of 4 resident records reviewed R1 has dementia diagnosis with no updated medical assessment, which poses/posed a potential health, safety or personal rights risk to persons in care.

87470 Infection Control Requirements (c) An Infection Control Plan shall be developed . (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. This requirement was not met as evidenced by: Based upon LPA's interview of the reporting party, the facility staff did not record the reporting party's temperature until prompted by the reporting party, which poses a potential health, safety and personal rights risk to residents in care.

All staff and volunteers providing direct care to a resident....shall wear appropriate Personal Protective Equipment (PPE) to prevent exposure to infectious agents...This requirement was not met as evidenced by: Upon entering the facility, LPA observed staff member was not wearing a mask which poses an immediate health and safety risk to residents in care.

Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met as evidenced by; LPA observed the cleaning supplies were stored underneath the sink but the cabinet was not locked which poses an immediate health and safety risk to residents in care.