Megan's Place

Based on record review, the licensee did not comply with the section cited above as two resident's files were observed to be missing required documents and signatures which poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the water temparature in resident bathrooms was measured between 137.8 and 140.0 degrees Fahrenheit which posed an immediate health risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as one sink in the common resident bathroom was observed to be leaking water into the cabinet located below which poses a potential health risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the fire door leading to bedroom #4 is in disrepair and failed to properly close at the time of the fire alarm test which poses an immediate safety risk to persons in care.

87468.1 Personal Rights of Residents...(b) All residents...shall be protected from all of the actions specified in this subsection...(8) Deny or restrict medical or nonmedical care that is appropriate to a resident’s organs and bodily needs...This requirement is not met as evidenced by: Based on interviews the licensee did not comply with the section cited above as R1's facial wound became infested with maggots while in care at the facility which poses a potential health or personal rights risk to clients in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall...(1) The licensee shall arrange...for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interview the licensee did not comply with the section cited above as medical care for R1's facial wound was sought 3 days after first being identified which posed a potential health risk to clients in care.

87224 Eviction Procedures(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required...This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a lawful eviction for R1 was not submitted to CCLD prior to the resident's eviction from the facility which posed a potential personal rights risk to clients in care.

87457 Pre-Admission Appraisal General (a) Prior to admission, the... resident ...shall be interviewed by the licensee...(2) The...resident's...her background, including...medical background... shall be discussed.This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as no preadmission appraisal of resident 1 was completed prior to accepting resident 1 into care which poses a potential health and safety rick to clients in care.

87211 Reporting Requirements(a)... licensee shall furnish to the licensing agency such reports...(1) A...report shall be submitted to the licensing agency...within seven days...(D) Any incident...health of any resident...This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as no special incident reports were submitted for the hospitalization of Resident 1 which poses a potential health, safety, or personal rights risk to clients in care.

87458 Medical Assessment(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year....This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as resident 1's file was observed to contain an incomplete medical assessment which poses a potential health and safety risk to clients in care.

87507 Admission Agreements(c) Admission agreements shall be signed and dated...no later than seven days following admission...This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a resident's file was observed to contain an admission agreement that was not filled out or signed which poses a potential personal rights risk to clients in care.

87608 Postural Supports(a) ...Postural supports may be used under the following conditions. (5)...(B) Bed rails that extend the entire length of the bed are prohibited except for ...hospice care...This requirement is not met as evidenced by Based on observation and record review the licensee did not comply with the section cited above as a resident's bed was observed to contail full bed rails, the resident is not on hospice and does not have a doctor's order for full bed rails which poses a potential personal rights risk to clients in care.

Based on observation, the licensee did not comply with the section cited above, as 3 out of 3 total staff were not wearing masks when LPAs arrived at the facility which poses an immediate health risk to persons in care.

Based on observation, the licensee did not comply with the section cited above due to damage to the ramp exiting bedroom #3, the broken threshold at the bottom of the back patio door ramp, and the non-self-closing gate which poses an immediate safety risk to persons in care, as both the bedroom ramp and the back door ramp are emergency exits.