St. Sebastian's Home for the Elderly

(e) Water supplies and plumbing fixtures...(2) Faucets used by residents for personal care...shall deliver hot water. Hot water temperature controls shall be maintained ...not more than 120 degree F (49 degrees C).This requirement is not met as evidenced by: Based on observation, the hot water temperature was not maintained within the required range which poses an immediate health and safety concern for residents in care.

Based on observation, the licensee did not comply with the section cited above in that resident (R3) has full bed rails without being enrolled in hospice, 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 Resident (R1's) medications were observed on top of the side dresser, and their roommate is ambulatory with Dementia, 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 by having 1/2 rails on R1 & R2's beds without a physician's order, 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 the hot water temperature readings were 126.7, 120.2, & 117.7 degrees Fahrenheit; 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 by not having a first aid manual at the facillity,which poses/posed a potential health, safety or personal rights risk to persons in care.

87506 Resident Records. (a)A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. (b)Each resident’s record shall contain at least the following information: The requirement was not met as evidenced by record reviewed, LPA only observed LIC603 in resident's files which posted a potential risk of residents in care.

87211 Reporting Requirements (a)(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1)A written report shall be submitted to the licensingThis report shall include the resident's nam.....e, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D)Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. The requirement was not met as evidenced by record review, LPA did not receive any incident reports from facility