Mom and Dads Retreat Inc

Based on observation, the licensee did not comply with the section cited above as per tour of the physical plant, it was observed that Resident #2, who uses a wheelchair resides in bedroom #1, which is fired cleared for ambulatory use only, which poses an immediate health, safety or personal rights risk to persons in care. IMMEDIATE CIVIL PENALTIES WERE ASSESSED

Based on record review, the licensee did not comply with the section cited above as the Licensee was not able to provide a copy of the Emergency Disaster Plan to LPA Yee for review 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 as per tour of the facility, the back and front yard were observed to need general cleaning. Discarded wood, planters, commodes, brooms, mops, dryer, ladder need to be discarded or stored away. Weeds along the right side of the home need to be trimmed, 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 per tour of the bedrooms, it was observed that all the residents bedroom window blinds and the door blinds in bedroom #3 were all broken and in disrepair 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 per review of resident records, it was observed that the facility does not any PRN Authorization letters for any of the residents who are currently prescribed PRN medications. The facility also does not document any physician's instructions or the results of the dosage of medications given.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 per review of Resident #1's hospice file, there were no written request for acceptance or admittance to or retention in the facility while receiving hospice services observed in the residents file 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 as per tour of the bathrooms, the bathroom located inside bedroom #3 was observed without a non-skid mat which poses/posed a potential health, safety or personal rights risk to persons in care.