Santa Fe Home Care Iv

Allowing diabetic residents based on self-management ability

Based on observation, interview, and record review, the licensee did not comply with the section cited above, according to staff Resident 3 (R3) injected themselves through their assistance (according to R3's physicians report they are unable to inject themselves) which poses/posed a potential health, safety or personal rights risk to persons in care.

Document each PRN medication dose taken

Based on observation, interview, and record review, the licensee did not comply with the section cited above in not documenting the residents' response to the PRN medication which poses a potential health, safety or personal rights risk to persons in care.

Facility personnel sufficiency and competence

Based on observation, interview, and record review, the licensee did not comply with the section cited above in the facility not having continous night staff, according to records review facility residents requiere continous care and supervision, which poses/posed a potential health, safety or personal rights risk to persons in care.

Cool occupied rooms to regulated temperature range

Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature.This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above. Facility indoor temperatures measured 96.44 F, 94.28 F, and 93.77 F. This violation poses an immediate health and safety risk to persons in care.

Provide resident hot water for personal care

Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above. Hot water temperature measured 135.5 degrees Fahrenheit. This violation poses an immediate health and safety risk to persons in care.

First aid training requirements

Based on observation record review, the licensee did not comply with the section cited above. LPA identified staff #2 and #4 did not have current CPR/First Aid card in staff files which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified staff #1 and #2 did not have completed direct care training completed on file. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above . LPA identified smoke detector in Room #1 is not operable. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Keep window screens clean and in repair

Based on observation, the licensee did not comply with the section cited above. LPA identified resident room #2 did not have a window screen. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above. LPA identified (1) disinfectant spray left on top of a trash bin accessible to resident in care with Demential. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, record review and interview, the licensee did not comply with the section cited above. LPA identified resident #3 with dementia has full lenght bed rails. R3 is not on hospice care and did not have physicians prescription for bed rails. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA identified no night supervision "awake" staff for residents #1, #3 and #4 diagnosed with Dementia. ]This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on observation record review, the licensee did not comply with the section cited above in having expired CPR card in staff files which poses/posed a potential health, safety or personal rights risk to persons in care.

Track resident cash safeguard records

Based on observation and interview record review, the licensee did not comply with the section cited above in having the SPV form done on the residents files which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain admission agreement and appraisal

Based on observation record review, the licensee did not comply with the section cited above in having resident's admission agreement form other home and not the current one which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interviews the licensee did not comply with the section cited above in having an administrator designee promptly available at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above in not having proof of quaterly disaster drills when requested by LPA which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation the licensee did not comply with the section cited above in having the bathroom ceiling in disrepair which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above. LPA Montoya observed the water temperature in bathroom #1 next to resident bedrooms #1 & #2 is 151.1 degree F and the water temperature in bathroom #2 next to resident bedroom #3 is 126.9. degree F. This poses an immediate health, safety or personal rights risk to persons in care.