Liebelove Care Inc

Based on observation and record review, the licensee did not comply with the section cited above as Resident #1 (R1)'s razor was not stored locked and inaccessible despite R1's physician's report documenting R1 at risk if allowed access, which posed an immediate health, safety or personal rights risk to persons in care.

(h) The following requirements shall apply to medications which are centrally stored:(4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. Based on medication review, 1 (one) medication for a resident was not stored in its original packaging with the label, which poses a potential health and safety risk to residents in care.

(b) The following food service requirements shall apply:(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. Based on observation, 7 (seven) food items were expired which poses a potential health and safety risk to residents 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 and shall include an appraisal of his/her individual service needs...This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as a pre-admission appraisal was not conducted prior to accepting R1, as R1 was accepted with a prohibited health condition, which poses an immediate health and safety risk to residents in care.

87615(a)(1) Prohibited Health Conditions. (a) Persons who require health services for or have a health condition including... those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as R1 was retained at this facility with unstageable pressure injuries, which poses 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 the records were not updated, which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in one of three residents (R2), which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as medications were accessible throughout the facility, which poses an immediate health and safety rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as the fire extinguishers were last purchased 11/2019, which poses a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above, as alarms were disengaged at the time of the visit, which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two of three staff training records (S2, S3) which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as expired perishable and non-perishable food was observed in the cabinet and refridgerator, which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as cleaning supplies were accessible throughout the facility, which poses an immediate health and safety rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as lighting was inadequate in common restrooms, which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two of three staff records (S1, S2), which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as the cabinet for centrally stored medications was unlocked, which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as medications were prepared for up to four days in advance, which poses an immediate health and safety risk to residents in care.