The Park Lane

Must complete individual written admission agreements

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 3 out or 3 residents reviewed did not have admissions agreements, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interviews and record review, the licensee did not comply with the section cited above in R5 LIC 602 lists R5 as bedridden and facility does not have bedridden in the plan of operation, which poses an immediate health, safety or personal rights risk to persons in care.

Facility must keep complete hospice care plan on file

Based on interviews and records review, the licensee did not comply with the section cited above in reviewing 3 out of 3 residents did not have a hospice care plan or a complete hospice care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observations and record reviews, the licensee did not comply with the section cited above in four areas water tested and observed out of compliance, which poses an immediate health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R2 did not have a medical assessment, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observations and interviews, the licensee did not comply with the section cited above in section observed, which 2nd floor, third floor and fiveth floors missing residents Personal Rights posters, which poses/posed a potential health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation. (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (A) Operate from each resident's living unit. This requirement was not observed as evidenced by: The facility failed to maintain operations of the signal systems call for whole facility residents which poses potential health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (a) 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 observed by: The facility failed to maintain bathroom floor clean and sanitary. Water leaks from the ceiling and wet floors created potential hazard. One out of three elevator broke down with residents stuck in it, which poses potential health and safety risk to persons in care

Provide resident hot water for personal care

87303 (e) Water supplies....(2) ... Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). Based on observations facility staff failed to maintain faucet water temperature with in required regulations which poses potential health and safety risk to persons in care.

Give PRN medication by physician order

87465 Incidental Medical and Dental Care. (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not observed as evidenced by: Based on interview and records review the facility failed to ensure R1 medication as prescribed. R1 took wrong medications ( dose of Mitrazapine and Risperidone instead of prescribed Ramipril) which poses potential health and safety risk to persons in care.

87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any.(f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. The following requirement has not been met as evidenced by: Resident 1's Admission Agreement reads 40 percent of "Community Fee" should be refunded. Resident 1's Responsible Party has not received refund, which poses a potential, health, safety, or personal rights risk to residents in care.

Develop required incidental medical care plan

87465 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: The following requirement has not been met as evidenced by: Resident 1 fell on 01/14/2024 around 05:00 a.m., despite being in visible pain was not provided medical care until 8 p.m., which poses an immediate, health, safety or personal rights risk to resident in care.

§1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. The following requirement has not been met as eveidenced by: The facility has not refunded portion of "Community fee" to Resident 1's Responsible Party more than 15 days after the passing of Resident 1, which poses a potential, health, safety, or personal rights risk to residents in care.

Report specified resident events within seven days

87211 Reporting Requirements. (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 of any of the events. This requirement was not observed as evidenced by: The facility failed to provide a written report to Licensing office in regard to water been shut off fro couple hours on October 26th, 2024, which poses potential health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation. (a) 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 observed as evidenced by: Based on observations during facility visit on 10/29/24 and files review the facility had asbestos and black mold in area administrative offices on the first floor of the facility administrative offices section.This poses potential health and safety risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal rights. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations. This requirement was not met as evidenced by: Based on records review the facility staff (S1) shared personal inappropriate video content of him with another individual with residents (R1 and R2) in care. This poses potential health and safety risk to persons in care.

Assist residents with self-administered medication

87465 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. The following requirement has not been met as evidenced by: Resident 4 was not provided prescribed medication as facility did not provide the medication to person responsible for administering, Resident 5 has not been given prescribed weekly medication for more than 2 weeks, which poses an immediate, health, safety or personal rights risk to resident in care.

87465 Incidental Medical and Dental Care (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:(A) The name of the resident for whom prescribed.(B)The name of the prescribing physician.(C) The drug name, strength and quantity.(D) The date filled.(E) The prescription number and the name of the issuing pharmacy.(F) Instructions, if any, regarding control and custody of the medication. The following requirement has not been met as evidenced by: Resident 4's medication was being stored by the facility with no Centrally Stored Medication Record, Resident 6's medication stored by the facility is not logged on the Centrally Stored Medication log, which poses a potential, health, safety or personal rights violation to residents in care.