Golden Care Living Iv

87458 Medical Assessment (b) The licensee shall obtain an updated medical assessment when required by the Department.This has not been met as evidenced by: R2's physican report has diagnosed (Dx) R2 with Dementia, last dated 01/23/24. Residents Dx with Dementia requires the facility to obtain a yearly, updated, LIC624a.

87303 Maintenance and Operation (c) All window screens shall be clean and maintained in good repair.This has not been met as evidenced by:based on LPA's observations; the screen, located in room #3, in disrepair. LPA also observed debris located in two (2) backyard exit doorsills and also in doorsill of room #3, which may pose a potential health and safety risk to residents in care.

Based on observation, and record review, the licensee did not comply with the section. LPA identified resident #6 not in hospice care with full bed rails. R6 had no prescription from PCP stating R6 requires full bed rails. This violation 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. LPA observed refilled medications for resident #3 dianosed with dementia accessible to resident in care. The medications were store in a closet not in locked cabinet. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA observation, the facility furniture end tables obstructing exit passageways in room #3. This citation poses an immediate health and safety risk to residents in care.

1569.44(a) Unlicensed residential care facility for the elderly; definition; operation without license prohibited; procedure upon discovery (a) A facility shall be deemed to be an "unlicensed residential care facility for the elderly" and "maintained and operated to provide residential care" if it is unlicensed and not exempt from the licensee, and any one of the following conditions is satisfied: This requirement is not met as evidence by:Based on interviews conducted and observation the operator is providing unlicensed care to R1-R6 who require elements of care and supervision. The facility is not licensed by CCLD. This poses a potential Health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above. LPA identified resident activity room sliding door and room #2 with no screens did not have a window screen. Hallway sliding door screen and kitchen screen had rips. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility.This requirement is not met as evidenced by: Based on observations and records review, the licensee did not comply with the section cited above as residents (R#1-R#4) medications were not checked off on MARs for the months of May and March 2024 and there is no documentation detailing if residents took or refused their prescribed medications 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 above as kitchen and dinning room were observed to have crumbs and paper and the floor. Pile of laundry were observed on the floor which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, nterview, record review, the licensee did not comply with the section cited above in having a care staff not associated at the facility with pending background clearance 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 as staff (M.E.) has an expired CPR card which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as medication administration records are not being documented properly which poses/posed a potential 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 there is no first aide kit in the facility 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 above as toxin were observed not locked and accessible to residents 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 above as scissors were lobserved accessible to residents which poses/posed a potential health, safety or personal rights risk to persons in care.

87506 Resident Records The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement was not met as evidenced by Based on records reviewed and interviewsconducted the licensee failed to ensure staff kept accuriate records. This poses a health &Safety risk to residents in care.

87606 Care of Bedridden Residents:Unless otherwise specified....:To accept or retain a bedridden person, a facility shall ensure the following:The facility's Emergency Disaster Plan....This requirement was not met as evidenced by Based on records reviewed and interviews conducted the licensee has not provided staff regarrding the care for a bed ridden client. This poses a healh & safety risk to resident in care.