Carmel Oaks Assisted Living

Based on record review, observation and interview, the licensee did not comply with the section cited above. No record of the PRN Authorization letter on file for Resident #2 and Resident #3. This poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above. Resident #6 was put on hospcie since 11/12/2024; no care plan observed on file. Administrator confirmed with the hospice agency during todays visit that the resident is no longer on hospice due to issues with the insurance. This poses/posed a potential health, safety risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in six out of six prescription medication bottles had incorrect number of pills, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, and interview, the licensee did not comply with the section cited above as three first aid items were not available during the audit( first aid manual, scissors, twizzers, which poses/posed a potential health, safety or personal rights risk to persons in care.

87555 (b)(8)-The following food service requirements shall apply: 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. This requirement is not met as evidenced by: Based on observation of foods found in the pantry, the nutritional drinks had an expiration of 11/ 01/2022 and 12/01/2022, which poses an immediate health and safety danger to persons in care.

87458 (b)(1)-...A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases... This requirement is not met as evidenced by: Based on record review, the physician report on file for R1 was not completely filled out, which poses a potential health and safety danger to persons in care.

87465(h)(2) The following requirements shall apply to medications which are centrally stored: 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 is not met as evidenced by: Based on observation, medications were found in unlocked cabinets and bedrooms and accessible to residents in care, which poses an immediate health and safety danger to persons in care.

87565(i) Prescription medications which are not taken with the resident upon termination of services…shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. This requirement is not met as evidenced by: Based on observation, medications for a terminated resident were found in the facility, which poses a potential health and safety danger to persons in care.

(a) A licensee shall not operate a facility beyond the condition and limitations specified on the license, incuding specifications of the maximum number of persons served who may recieve services at any one time. This requirement is not met as evidenced by: Based on observation and record review, the facility was serving seven residents, which is over the allowed capacity. This poses an immediate health and safety danger to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above, as one bottle (1), of personal medication was kept unlocked and accessible in Room #6, 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 one (1) out of six (6) staff didnot have a criminal record cleareance, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in as one(1) out of six (6) staff didnot have staff file and a signed statement regarding their criminal record history on file, 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 facility did not have a one-week supply of nonperishable food, 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 knives were accessible in a kitchen drawer, which poses an immediate health and safety risk to residents in care.

Based on observation and interview, the licensee did not comply with the section cited above, as all facility medications were kepted unlocked and accessible in Room #3, 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 the facility did not have a one week supply of nonperishable food, 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 there was accessible disinfectant observed in the bathroom, which poses an immediate health and safety risk to residents in care.