Savant of Norwalk

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met evidence by: Based on interviews conducted and observations by LPA Reyes, (6) of (8) staff confirmed they have observed medication in various areas of the facility on the floor and counters, including the hallways, resident rooms, and the dining room. Additionally, during the visit on (insert date) LPA Reyes observed medication cart being left unlocked, unattended, and accessible to all residents in the dining room. S8 admitted to LPA Reyes of leaving the med cart in dining room unlocked. This poses an immediate health, safety, and risk to persons in care.

Assist residents with self-administered medication

87465(a) (4) 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: (4)The licensee shall assist residents with self-administered medications as needed. This requirement is not met evidence by. This pose an immediate health, safety, and risk to persons in care. Based on interviews conducted by LPA Reyes (6) of (8) staff confirmed they have observed medication in various areas of the facility on the floor and counters, including the hallways, resident rooms, and the dining room. The staff have stated they have either witnessed medication pills left unattended or had been informed by staff of such incidents.

Store centrally held medications in locked secure place

87465Incidental Medical Care(h) The following requirements shall apply to medications which are centrally stored(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible .... Based on observations LPA Reyes toured the dinning room and observed at 12:09 PM Staff #8 (S8) had left the med cart unattended and unlocked for few minutes while outside in the court yard administering resident's medication.This poses an immediate health, safety or personal rights risk to persons in care.

Maintain and operate facility under definitive plan

Plan of Operation (a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. This requirement is not met as evidenced by.There is one staff at the facility in charge to handle any financial matters (S2). No other staff is permitted to get any personal information from the residents. In same cases S3 was provided personal information by residents.

Safe, healthful, comfortable accommodations

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: The facility failed to keep the residents from smoking in the undesignated areas which is in front of the facility which poses a health and safety issues for clients in care.

Maintain facility in clean, safe, sanitary condition

87303) a Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times.This requirement was not met as evidenced by: Room 19A sliding door was in disrepair and did not close properly until today 6/12/2023 and screen door in room 19A does not close properly and requires repair and replacement as it posed/poses a health and safety issue to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above. Room 13 towel rack was in need of repair as it was off the wall which poses 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. Room #33 water in the tub measured 90 degrees F and water in room 11 tub measured 123.5 degrees F 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. One door screen was in need of repair which poses a potential health, safety or personal rights risk to persons in care

Maintain facility in clean, safe, sanitary condition

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 was not med at evidence by: During todays visit, LPA observerd that the facility does not have their business name on the building, markee, or attached to anyplace on the building. This deficiency was previously cited on 06/18/21 which poses a health and safety risk to the residents in care.

Maintain facility in clean, safe, sanitary condition

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 was not med at evidence by: During todays visit, LPA observerd that the facility does not have their business name on the building, markee, or attached to anyplace on the building. This deficiency was previously cited on 06/25/21 which poses a health and safety risk to the residents in care.

Maintain facilities for fire and panic safety

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. During todays visit, LPA Wesley observed all the facility windows on the 1st and 2nd level, all of the sliding glass exit doors in all of the residents rooms and the emergency exit doors by rooms 19 and 20, the TV room on the southwest side of the facility near Firestone Blvd near the residents rooms were covered in masking and tape which prohibits exiting and entering. This poses a health and safety isssue for the residents in care.

87459 Functional Capabilities (a)The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living (1)Bathing including need for assistnace (B) In bathing one or more parts of the body The requirement is not met as evidenced byBased on interviews by residents and reported their showering needs were not met due to staff would get mad when they take too long or staff only watched them without providing any assistance.

Theft and Loss. A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value. The licensee shall be presumed current value and shall be presumed to have made reasonable efforts tosafeguard resident property if there is clear and convincing evidence of efforts to This evidence has not been met as required by: Resident #1's cellphone was last seen at the facility prior to being transported to a hospital on 12/25/20 in which it was not included in the residents personal property, or valuables.

Maintain facility in clean, safe, sanitary condition

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 was not med at evidence by: LPA's Wesley and Mora observed the facility to be in need of cleaning. LPA's observed a food tray with left over food on the dining table, room #11 to be filthy and in need of a thorough cleaning, TV room in room #5 has not been operable for days, the facility courtyard to require lawn service/cleaning to remove old refrigerator/debris, and the facility to place business name on markee/building.

Central store medicines that create safety hazards

Incidental Medical and Dental Care Services. Medications shall be centrally stored if, because of the physical arrangements in the facility and the conditions of other persons in the facility, the medications are determined to be a safety hazard to other residents. This requirement was not met as evidence by: LPAs Wesley and Mora both observed 3 clear labeled boxes of prepared medication(am, noon, pm) for residents in the unlocked conference room located by the facility entrance across from what was identified as the medication room.