Adorable Redbeam Home

Based on observation, the licensee did not comply with the section cited above, LPA tested the water temperature in the bathrooms and kitchen and the temperature measured 120.4-, 123.3-, 124.3-, and 123.4-degrees F, which posed a potential health, and safety risk to persons in care.

Based on (observation) (record review), the licensee did not comply with the section cited. LPA identified staff #6 and staff #7 did not have current CPR First Aid. This violation poses/posed a potential health, safety or personal rights risk to persons in care.

87307 Personal Accommodations and Services(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:This requirement is not met as evidenced by: Based on interview, observation, and record review the licensee failed to ensure that facility ground items are safe for the residents, on 10/30/21, RM Yates observed an inoperable para transit bus parked in the facility's drive way, and also observed, that the inside of the bus was used as storage space, which posed a potential health risk to residents in care.

87413 Personnel - Operations(a) In each facility: (1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks.This requirement is not met as evidenced by: Based on interview, observation, and record review the licensee failed to ensure the safety of the residents, RM Yates was informed on 10/30/21, at 10:46am, by a text, from individual on behalf of the Administrator, that facility did not have sufficient staff, to care for three residents, and would be relocating the residents to other RCFE facilities which posed a health risk to residents in care.

87705 Care of Persons with Dementia...(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on interview, observation, and record review the licensee failed to ensure the safety of the residents, RM Yates observed on 10/30/21, at 2:10pm, scissors on top of dining table, and also, RM Yates observed a pill box in S2 walker storage which posed a health risk to residents in care.