Melrose Gardens

Store centrally held medications in locked secure place

87465(h)(2) 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 is not met as evidenced by: Based on LPA interviews with the Administrator and Staff, the licensee failed to ensure that the facility's medication room was inaccessible to persons other than athorized personnel which posed an immediate health risk to residents in care

Report specified resident events within seven days

87211(a)(1) Reporting Requirements- A written report shall be submitted to the licensing agency...and person responsible for the resident within seven days of the occurrence of any of the events specified...This requirement is not met as evidenced by: Based on LPA records review and interviews with Administrator and Staff, Licensee failed to submit an Incident Report to licensing agency within seven days of the incident's occurance, which poses a potential health risk to residents in care.

Report suspected non-serious physical abuse within 24 hours

87211(c) Reporting Requirements-Any suspected physical abuse that does not result in serious bodily injury...shall be reported to local ombudsman...and local law enforcement agency within twenty-four (24) hours...This requirment was not met as evidenced by: Based on LPA records review and interviews with Administrator and Staff, Licensee failed to report to ombudsman and local authorities as required, which poses a potential health risk to residents in care.