Piner's Guest Home

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 staff files reviewed observed missing proof of all of the required annual training and annual medication training hours which poses a potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on record review, the licensee did not comply with the section cited above in 3 out of 5 staff files reviewed were obserevd missing proof of valid first aid training 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 three out of five staff files reviewed. Documentation of annual training was not present which poses/posed a potential health, safety or personal rights risk to persons in care.

1569.695(c)A facility shall conduct a drill at least quarterly for each shift..type of emergency covered in a drill shall vary ... Documentation of the drills shall include date,type of emergency covered by the drill, and names of staff participating in the drill.This requirement is not met as evidenced by: This requirement is not met as evidenced by: Based on interview, the licensee did not comply w/section cited above in 1 of 1 facility drill which poses/posed a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

87465(h)(5) Incidental Medical and Dental Care -(h)The following requirements shall apply to medications which are centrally stored: (5)Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by: LPA observed all residents medications had been prepoured into plastic containers which were to be given to the residents as stated. Medications are to remain in original containers. This is a potenitial risk to health & safety and/or personal rights risk to residents in care.

Obtain baseline medical assessment before resident admission

87458(a) Medical Assessment. Prior to accepting a person as a resident the licensee must obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. ** This requirement was not met. Based on LPAs record review the facility did not ensure Resident (R1) had submitted a completed medical assessment in their file, which poses a potential health and safety risk to residents in care.

Document behavioral expression and related causes

87463(c) Reappraisals- (c)The licensee shall arrange a meeting with the resident, the resident’s representative... when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first... This requirement has not been met as evidenced by: Based on LPA/Administrator's file review showing that resident's care plans for 2 out of 2 residents (R1 - R7) were not been performed and signed by the resident of their representative within last 12 months. This is a potential risk to the health and safety of residents in care.