Henrietta's Home

Based on observation, the licensee did not comply with the section cited above in that medication pills in dispensing cups were observed in an unlocked in the kitchen drawer next to the refrigerator, 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 alcohol i.e., vodka, whiskey, wine, and beer were observed unlocked in the bottom kitchen cabinet located on the right side of the refrigerator, and there are 3 residents with Dementia in which access to items poses a potential health, safety or personal rights risk to persons in care.

Postural Supports. Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet.” Based on photographic evidence night shift caregiver placed a laundry basket under R1's hospital bed mattress in order to limit the resident from getting up at night. Pillows and rail pads were also used. This poses an immediate health and safety risk to persons in care.

Reporting Requirements. Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: cA written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events ... date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met evidenced by: Between Dec. 2023- June 2024 there were suspected scabies cases, that resulted in prophylaxis Permethrin treatment of residents, but none of the responsible parties had knowledge of treatment and CCLD did not receive any incident reports. This poses a potential health and safety risk to persons in care.

Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: 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 was not met evidenced by: Based on photographic evidence the findings indicate that a staff backpack that was placed on top of the kitchen counter by the toaster oven had a medication bubble pack sticking out, it is unknown which resident the medication belonged to, but medications must be locked. This poses an immediate health and safety risks to persons in care.

Care of Persons with Dementia. Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement was not met evidenced by:Resident (R1) fell twice while sitting in the dining room chair, R4 had 2 falls; 1 in their room and iin May 2024 while sitting in the dining room chair, and as a result was hospitalized due to injuries. This poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that hospice/dementia residents (R1-R3) only have pre-placement and/or resident appraisals completed upon admission, 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 that a total of 3 prescribed ointment creams were observed in an unlocked bathroom drawer, 2 of the creams belonged to 2 former residents, 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 that staff (3) began working at the facility on 5/16/2023 and no staff training has been completed/documented; 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 that resident (R1) is not enrolled in hospice and their bed has full bed rails; 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 per Physician's Report resident (R1) is bedridden presently located in room #2; which is not designated by the Fire department clearance as a bedridden room. Bedridden room is only room #4; which poses an immediate health, safety or personal rights risk to persons in care.

Liability insurance… all residential care facilities for the elderly … shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement was not met as evidenced by: Based on liability insurance records reviewed, interviews conducted with Administrator and relevant witnesses, it was determined that the licensee did not have required liability insurance coverage for 08/26/2022 to present which poses an immediate safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in that 3 out of 4 residents (R1-R3) did not have current admission agreements issued by the new licensee; 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 that the previous licensee's facility license was posted and filed at the facility; which poses an immediate health, safety or personal rights risk to persons in care.