Bentits Retirement Villa

Based on observation, the licensee did not comply with the section cited above in [1] out of [1] carbon monoxide detector located in the hallway was tested and not operable which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in that cleaning solutions were observed unsecured on a countertop in the hallway accesible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that LPA observed a pest trap on the kitchen counter top full of bugs which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that LPA observed not a sufficient supply of fresh fruit or bread for a minimum of two days which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in the water temperature measuring 131.7 and 130.6 in bathroom #1 with Jack and Jill basins which poses 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 havng insufficient staff to provide services/care needed to meet resident needs, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 of 4 staff files unavailable for licensing to audit, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in R2 and R3's files were missing records of resident's cash resources/personal property/valuables, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 of 3 residents missing Pre-Admissions Appraisal in their file, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 of 3 residents missing the Functional Capabilities Assessment in their file, which poses 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 in R1 having full bed rails without proper physician's orders indicating the need for them, which poses 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 auditory devices at all entrances/exits inoperable/missing, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in the front entrance door and resident room# 2 emergency exit door locked by key, from the inside, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 of 3 residents missing Needs and Services Plan on file, which poses 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 admitting to have an expired liability insurance policy, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in kitchen sink cabinet is broken and falling apart, visitor/staff bathroom sink leaking, bedroom# 3's wall is scuffed and paint is chipped, and the ceiling is cracked, which poses 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 2 of 4 staff missing proper association to the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in the hot water temperature measuring between 140*F-144*F, which poses an immediate 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 the cabint underneath the kitchen sink was broken and leaking, the vent in the dining room has accumulated dust, and there is not running hot water in bathroom# 2, which poses 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 cleaning supplies and toxins were stored in the laundry room, unlocked and accessible, which poses an immediate 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 1 staff had expired first aid/CPR training and 1 staff did not have proof of certification, which poses 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 1 of 2 staff files were not available to inspect at the time of the visit, which poses 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 the first aid kit not being complete and missing required bandages, scissors, and thermometer, which poses 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 a first aid manual was not available at the facility at the time of the visit, which poses 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 2 of 3 residents with dementia did not have an updated medical assessment or reapparaisal, which poses 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 2 staff not having proof of current required annual training which poses 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 2 staff not having proof of current required annual training which poses 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 the water temperature measuring at 131.5*F in bathroom# 1 and no hot water running in bathroom# 2, which poses an immediate health, safety or personal rights risk to persons in care.

Based on records reviewed, the licensee did not comply with the section cited above in 2 out of 4 resident files which poses a potential health, safety or personal rights risk to persons in care. Resident #1 (R1) did not have an admission agreement on file. Resident #2 (R2) had the wrong admission agreement on file. R2's agreement lists the previous owner's facility name. This agreement must be corrected to list the new owner's information.

Based on LPA's observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Per COVID-19 procedures and facility Mitigation Plan, staff are required to conduct routine symptom screening (+/- temperature and symptom check) for all staff, residents, and visitors. LPA was not screened during the visit. Also 2 visitors were observed entering the facility and they were also not screened.

Based on records reviewed, the licensee did not comply with the section cited above in 1 out of 4 resident records which poses a potential health, safety or personal rights risk to persons in care. Resident #1 (R1) did not have proof of TB test on file.

Based on records reviewed, the licensee did not comply with the section cited above in 1 out of 4 resident files which poses a potential health, safety or personal rights risk to persons in care. Resident #1 (R1) did not have a pre-admission appraisal on file.

Based on records reviewed, the licensee did not comply with the section cited above in 1 out of 2 staff members which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Facility is required to have a sign-in policy per COVID-19 procedures and as indicated in the approved Mitigation Plan. LPA was not asked or required to sign-in at the time of entry. Also 2 visitors were observed entering the facility and they were also not asked to sign-in.

Based on LPA's observation and interviews conducted, the licensee did not comply with the section cited above in 1 out of 2 staff members which poses a potential health, safety or personal rights risk to persons in care. Staff #1 (S1) did not have a personnel file at the facility. According to Staff #2 (S2) S1 is only a reliver and does not have a personnel file.