Fil-am Home for Seniors: Lansing's

Based on record review the licensee did not comply with the section cited above in three (3) out of four (4) staff did not have proof of first aid in file which poses/posed 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 one (1) out R5 of six residents (6) did not have an admissions agreement on file which poses/posed 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 three (3) out of six (6) residents R3, R5 and R6 did not have proof of TB in files which poses/posed 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 two (2) out of six (6) residents R5 and R6 had an incomplete or no pre-appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Reporting Requirements a) Each licensee shall furnish to the licensing agency such reports...(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...(A)Death of any resident from any cause regardless of where the death occurred, including but not limite... to visiting away from the facility. The requirement was not met as evidence byR2 was hospitalized on 04/15/23 and passed away on 04/16/23, however, facility failed to report R2 hospitalization and death to licensing per Title 22 regulations.

87211 (a)(1)(A) a) Each licensee shall furnish to the licensing agency such reports...(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...(A)Death of any resident from any cause regardless of where the death occurred, including but not limite... to visiting away from the facility. This requirement wasn't met as evidenced by: R2 was hospitalized on ?? and passed away on 04/16/23, however, facility failed to report R2 hospitalization and death to licensing per Title 22 regulations.

(a) Each licensee shall furnish to the licensing agency such reports...(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...(A)Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility.

Based on record review, LPA observed all residents' admission agreement was not on one side of the paper only. They were all on double side which post a potential risk to residnet in care.

Based on record reviewed, LPA observed Resident#1's daily medication Vitamin D3 (50mcg once daily) and omerprazole (20mg one day before meal) was not listed on the MARs and staff not sure if the resident take the medication or not

Based on record review, LPA did not observe any emergency drill was conducted in the past year and staff admitted they did not conduct any fire drill last year which pose a potential risk to residents in care.

Based on record review, LPA did not observe the actual liabiltiy insurance policy in place and the facility only has the quote which posed a potentil risk to resident in care.