Senior Manor Care

General Food Service Requirements (b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. Based on observation, interviews and records, the licensee did not comply with the section cited above in not having enough perishable food items for a minimum of two days for residents 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...by obtaining such care...by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This has not been met as evidenced by:CCLD Staff reviewed MAR of R1 and observed no record of admission of a medication, between the dates of 09/01/24 - 09/18/24, as ordered by R1's Dr., which poses a potential health, safety, or personal rights risk to residents in care.

87555 - General Food Service Requirements(b) ...food...requirements shall apply: (8) All food shall be of good quality...(23)...readily perishable foods or beverages...growth of micro-organisms which can cause food infections... appropriate temperature.This has not been met as evidenced by: Based on CCLD Staff observations, the licensee did not store condiments in it's appropriate temperature and cut fruit left in the refrigerator while not properly stored in a sealed compartment which poses a potential health, safety, or personal rights risk to residents in care.

87303 - Maintenance and Operation(a)The facility shall be clean, safe, sanitary and in good repair at all times.This regulation has not been met as evidenced by: Based on observation, interviews, and record reviews, the licensee did not ensure the facility was clean, safe and sanitary. Licensee did not ensure the facility was serviced for vermin 6 weeks which poses a potential health, safety, or personal rights risk to residents in care.

87411 Personnel Requirements - General (a) Facility personnell...shall be sufficient in numbers...to provide the services...to meet resident needs. Additional staff... employed...to perform...maintenance...and grounds. This regulation has not been met as evidenced by: Based on CCLD staff's observation and record reviews, the licensee did not ensure sufficient staff were present at the facility overnight which poses a potential health, safety, or personal rights risk to residents in care.

Based on [(observation) the licensee did not comply with the section cited above in having all cleaning agents unlocked which poses an immediate 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 in residents R#1,R#2 and R#3 missing their SPV form on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (record review)], the licensee did not comply with the section cited above in residents rights on file for R#3 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (record review)], the licensee did not comply with the section cited above in having a TB test on file for R#2 and R#3 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 not having in good repair the waste container which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (record review)], the licensee did not comply with the section cited above in not having a medical assesssment for R#1 and R#3 which poses/posed a potential health, safety or personal rights risk to persons in care.

To have prompt access to review all of their records and to purchase photocopies of their records.....This was not as evidence by: based on facility failing to provided requested records within 2 business day as per TITLE 22 regulations.

87303(a) -The facility shall be clean, safe, sanitary and in good repair at all times...This was not met as evidence by: Based on room floor bubbling.

87468.1(a)(2) Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable, accommodations,... Based on observations and interviews staff were not wearing a mask. Which poses a potential health and safety risk to persons in care.

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This was not met as evidence by: Based on specific areas of facility needed paint, repair and replacement floor boards. Which poses a potential healtha dn safety riskto the persons in care.

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This was not met as evidence by: Based on ants in the kitchen room #2 & room #4. Which poses a potential healtha dn safety risk to the persons in care.

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance 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 evidenced by: On 11/23/2021, LPA observed a cover for a kitchen drawer is missing, bathroom sink is clogged, and a ramp in the backyard is broken. This poses a potential Health, Safety and/or Personal rights risk to residents in care.