Walnut Villa

Based on observation, water temperatures in all grooming and bathing areas were not measured to be within 105 – 120 degrees F, the licensee did not comply with the section cited above in 13 out of 13 residents which poses an immediate health, safety or personal rights risk to persons in care.

Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times.This requirement is not met as evidenced by: Based on interviews and observation the facility failed to be in good repair at all times with the air conditioning unit not working and also facility floorboards lifted and overgrown weeds around the house which poses a potential risk to the persons health, safety, and personal rights of the persons in care

87555 General Food Service Requirements(b) The following food service requirements shall apply: (7)Modified diets prescribed by a resident's physician as a medical necessity shall be provided.This requirement is not as evidence by: Based on observations and interviews conducted licensee did not ensure staff were providing meals to the residents based on the diets noted by the physician which poses a potential risk to the persons health, safety, and personal rights of the persons in care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidence by: Based on observations licensee did not ensure staff have sufficient cleaning supplies and clean and disinfect all facility areas which poses a potential risk to the health, safety, or personal rights of the persons in care.

87705 Care of Persons with Dementia: (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.This requirement is not met as evidence by: Based on observations licensee did not ensure staff maintained the auditory devices on at all times which poses a potential risk to the health, safety, or personal rights of the persons in care.

Based on observation, the licensee did not comply with the section cited above as during tour LPA observed a leak in the resident bathroom shower, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited aboveas during facility tour the buzzers on doors that lead to exterior of facility (4 which are resident rooms) LPA obsereved buzzers/ringers to not be working, this is a facility that has dementia residents, this poses a potential health, safety or personal rights risk to persons in care.

Based on observation (during medication review), the licensee did not comply with the section cited above as LPA obsereved 2 medications missing 8/27/24 AM medication, LPA asked Administrator why medication was off on bubble pack (as administrator previously stated that each medication on particular residents medication reviewed was punched out daily on correct date number) Administrator was unsure why medication was off and could not provide explaination, nor were there any notes in MAR, this 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 LPA tested water temperature in Room #1 and in Resident full bath both temperatures were above 130 degress F, which poses an immediate health, safety or personal rights risk to persons in care.