Bay Towers at Bixby Knolls

§1569.655(a) Increase in fee rates for elderly residents; 90 days’ written notice standing amount of reasons for increase…(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice..... This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the licensee failed to give R1s responsible party/legally responsible person as observed in the admissions agreement, 90 days’ notice of a rate increase. This posed potential personal rights and safety risk to residents in care.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement was not met as evidence by Based on interviews, the facility failed to report to the department one of two water pumps that pump the hot water to the building was in disrepair. This poses a potential health and safety risk to all residents in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having copies of the Inventory List for (3) residents during annual evaluation which poses/posed a potential 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 in not having copies of Personal Rights in (2) residents files during annual inspection 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 in having water temperature measured below 105F during annual survey on residents’ rooms:613,602,503,404,417 and 420. which poses/posed a potential 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 in not having a copy of the first aid card for Activities Director which poses/posed a potential 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 in not having Health Screening and TB test for (3) facility staff on file during annual evaluation which poses/posed a potential 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 in not having copies of Admission Agreements for (3) residents during annnual inspection which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintenance and Operation: Water supplies and plumbing fixtures shall be maintained as follows: Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature...attain a temperature of not less than 105 degrees F (41 degrees C) and not more than 120-degree F (49 degree C). This requirement is not met as evidenced by: based on interviews, and records review the facility failed to ensure that 1 of the 2 water boilers were in good repair which Poses a potential health, safety, or personal rights risk to a person in care.

Maintenance and Operation: Water supplies and plumbing fixtures shall be maintained as follows: Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature...attain a temperature of not less than 105 degrees F (41 degree C) and not more than 120-degree F (49 degree C). This requirement is not met as evidenced by: based on interviews, and records review the facility failed to ensure that 1 of the 2 water boilers were in good repair which poses an immediate health and safety risk to all residents in care.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement was not met as evidence by: Based on interviews, the facility failed to report to the department one of two water heaters was in disrepair. This poses a potential health and safety risk to all residents in care.