Heart of Home Senior Living

87203 Fire SafetyAll facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above as two fire extinguishers were observed to be not serviced within a year which poses 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 as 3 of 4 resident medications reviewed contained inconsistencies with their medication amounts remaining and amounts documented as administered on the centrally stored 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 there was a disinfectant accessible, which poses an immediate health, safety or personal rights risk to persons in care.

87631(a)(1) Healing Wounds. ... The licensee shall be permitted to accept or retain a resident who has a healing wound under the following circumstances: When care is performed by or under the supervision of an appropriately skilled professional..This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as R1 had wounds on the heels and coccyx that were not treated by an appropriately skilled professional, 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, but not limited to, those specified below shall not be admitted or retained...: (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 with a stage 4 and unstageable pressure injuries, which poses an immediate health and safety risk to residents in care.

87465(g) Incidental Medical and Dental Care. 9-1-1 shall be telephoned immediately if an injury or other circumstance has resulted in an imminent threat to a resident’s health, including an apparent life-threatening medical crisis.This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as the facility failed to ensure that R1 received timely medical attention pertaining to R1's wounds, which poses an immediate health and safety risk to residents in care.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following....: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by:Based on the investigation, licensee did not comply with the section cited above, as R1 did not receive the appropriate care and supervision, which poses an immediate health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above, as there were cleaning supplies and over-the-counter medications accessible, 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, as the self-latching gate which exits to the front was padlocked, which poses an immediate health, safety or personal rights risk to persons in care.

Reporting Requirements: Each licensee shall furnish to the licensing agency such reports as the Department may require. The requirement was not met as evidenced by: Based on confirmation from the Administrator required reporting of the hospitalization and subsequent death of R-1 was not submitted to CCL. This deficiency resulted in a potential risk to the operation of the facility.

Incidental Medical and Dental Care. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on the observation of LPA Miller, Staff #1 (S-1) left medication unattended, unsecured and accessible to anyone in the room. This deficiency resulted in an immediate risk to the health & safety of Residents in care.