Golden Age Assisted Living

Based on observation and interview, the licensee did not comply with the section cited above in one out of three out of medication bottkes contained more pills than prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

Reappraisals (a)The pre-admission appraisal shall be updated...as frequently as necessary to note significant changes… (3) Any illness, injury…or change in the health care needs... Prohibited Health Conditions.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above as the facility failed to update R1’s appraisal with change of condition when R1’s pressure injury worsened, which posed a potential health and safety risk to residents in care.

87615(a)(1) Prohibited Health Condition: Persons who require health series for or have a health condition including, but not limited to, 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 was not met as evidenced by: Based on interviews and record reviews, the licensee did not fail to comply with the section cited above. The Licensee retained a resident with a prohibited health condition between 9/21/21 and 9/28/21, which posed an immediate health and safety risk to residents in care.

Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes… and that appropriate assistance is provided when such observation reveals unmet needs… documented and brought to the attention of the.. physician…This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. The facility failed to communicate R1’s worsening pressure injury/wound with R1’s physician which attributed to R1’s stage 4 pressure injuries while in care, which posed an immediate health and safety risk to residents in care.

87463(c) Reappraisals(c): The licensee shall arrange a meeting with… a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition…This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above as the facility failed to have a level of care meeting to discuss R1’s change of condition when R1’s pressure injury worsened, which posed a potential health and safety risk to residents in care.

87506-Residents Records a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. This requirement is not met as evidence by Base on the records review, the facility failed to ensure that a resident’s file for R1 was created prior to the time of admission to the facility, and while R1 resided in the facility, which poses a health and safety, personal risk to persons in care.

87705 Care of Persons with Dementia:(f)The following shall be stored inaccessible to residents with dementia:(1) Knives, matches.. (2) Over-the-counter medication.. toxic substances such as.. cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, as the LPA observed one (1) lighter on the outdoor patio seating and an unlocked outdoor shed containing cleaning supplies and disinfectants, which poses an immediate health and safety rights risk to persons in care.

87633(b) Hospice Care of Terminally Ill Residents: (b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following:This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, as one (1) out of six (6) resident files did not contain the resident Hospice care plan, which poses a potential health, and safety risk to persons in care.

Resident Records:(d)All resident records shall..(1)Licensing representatives shall not remove..records..(I)Any other records containing.. health-related information..(e)Original records.. shall be retained for a minimum of three (3) years..This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, as one (1) out of six (6) resident files did not contain the resident Home Health care plan, 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 LPAs observed cigarettes and lighters on the outdoor patio seating and an unlocked outdoor shed containing cleaning supplies and gardening supplies which poses an immediate safety rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 (one) out of 3 (three) total residents did not have a medical assessment on file which poses a potential health, safety or personal rights risk to persons in care.