Anthem Senior Care

(a) A plan for incidental medical and dental care shall be developed by each facility… (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facilityThis requirement was not met as evidenced by: Based on interview and record review, the Licensee did not comply with the section cited above in 5 out of 6 residents' centrally stored medication and destruction records were not maintained which poses 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 by having the magnetic lock on the drawer where sharps are kept not functioning properly and failed to keep drawer securely locked which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not having CPR First Aid certificate on record for all staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not conducting quarterly emergency drills which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review)], the licensee did not comply with the section cited above by not having hospice care plan for resident in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by having bedridden resident (Resident #1 -R1) in room #2 and non-ambulatory resident (R2) in room #1 and Resident #5 (R5) in the former activity room which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above not administering prescribed medication as need it, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by having R1 in a non approved bedridden room which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by not having physician’s order showing bedrails are required which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by having a resident unable to care for themselves which poses an immediate health, safety or personal rights risk to persons in care.

Hospice Care of Terminally Ill Residents: The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill...and receive hospice services from a hospice agency in the facility when all of the following conditions are met: A written hospice care plan specifies the care, services and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each resident...prior to the initiation of hospice services in the facility for that resident, Resident #1 does not have a care plan

Maintenance and Operation:The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Resident #2's hospital bed was observed to be non-operational and could not to be lowered or raised to allow easy access into bed and replace the mattress as needed since it was observed propped by bedding below the mattress and the full rail needs to be removed.

Hospice Care Waiver: If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents, which shall include, but not be limited to, the following requirements: The licensee shall notify the Department in writing within five working days of the initiation of hospice care.....The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. Dept not notified of R1, R4 & R's hospice initiation

Care of Persons with Dementia: (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.This requirement was not met as evidenced per tour of the facilit, it was observed that bedroom #4 an back sliding glass door did not have an auditory device installed on the door and the auditory device on bedroom #3 had a auditory device that was no operational

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 files requested for review/evidence of staff training and was advised that training logs are not kept by the facility, 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 in 1 out of 2 bathrooms inspected, the common bathroom in the back did not have a non-skid mat, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review the licensee did not comply with the section cited above in 3 out of 3 records requested, per Licensee, the Physician's report are somewhere and could not be provided to LPA for review and which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 files requested for review and was informed that the facility does not have files for the 3 staff, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review the licensee did not comply with the section cited above in 1 out of 3 records reviewed, which poses an immediate health, safety or personal rights risk to persons in care. Susan Roberts, Backup Administrator was present at the facility on today's visit and was not able to provide evidence that a criminal record clearance was obtained and was not associated to the facility as of today's visit. Immediate civil penalties were assessed.

Based on observation, the licensee did not comply with the section cited above as the fire alarm system at time of testing was inoperable 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 cleaning solutions were observed to be unlocked under the kitchen sink 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 in two staff were not wearing face masks as required which poses a potential health and safety risk to persons in care.

87465 Incidental Medical and Dental Care:(h)The following requirements shall apply to medications which are centrally stored: (5)Each resident's medication shall be stored in its originally received container..This requirement is not met as evidenced by: Based on LPA's observation and medication assessment, the lincensee did not comply with the section cited above, as five (5) out of six (6) resident medications were removed from its original container and prepared for more than 24-Hours, which poses an immediate health and safety risk to persons in care.

87465 Incidental Medical and Dental Care:(h)The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible..This requirement is not met as evidenced by: Based on LPA's observation, the licensee did not comply with the section cited above, as medications were in a unlocked hallway closet accessible to residents in care, which poses an immediate health and safety risk to persons in care.

Additional Personal Rights of Residents in Privately Operated Facilities. (a) residents in privately operated residential care facilities for the elderly shall have the following personal rights: To have a reasonable level of personal privacy in accommodations.. visits, communications, telephone conversationsThis requirement is not met as evidenced by: During the inspection LPAs observed cameras installed in (2) resident bedrooms. This poses as an immidiate health, safety and personal rights risk to residents in care.

Based on observation, LPAs observed the licensee did not comply with the section cited above in (5) out of (5) persons which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 which poses/posed a potential health, safety or personal rights risk to persons in care.