The Inn on Villa Lane

Give PRN medication by physician order

Incidental Medical and Dental Care 87465(c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure that R1 received their medications as prescribed. This poses a potential Health, Safety and/or Personal Rights risk to residents in care.

Facility personnel sufficiency and competence

87411(a) Personnel Requirements – General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on record review, self-report, and interview conducted with S1, R1 eloped from the community without staff knowledge and staff did not prevent R1 from wandering away from the facility which poses an immediate Health, Safety and/or Personal Rights risk to residents in care.

Assist residents with self-administered medication

Incidental Medical and Dental Care 87465(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observations made, records reviewed, and interviews conducted, Licensee did not ensure that R1 and R2 both received their medications as prescribed. This poses a potential Health, Safety and/or Personal Rights risk to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed Licensee did not ensure R1 received the correct amount of medication. This poses an immediate Health risk to residents in care.

Assist residents with self-administered medication

Incidental Medical & Dental Care (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: The LPA reviewed obtained photos showing R1 being fed food by staff, on two separate occasions, while in a halfway lying position in their bed. LPA observed in the photos, staff did not have the resident sitting upright when providing food, to help prevent resident from aspirating. Per review of resident records, All food and liquids are to be provided to the resident (R1) while in an upright sitting position. Resident incidents did occur where the resident went out 911 due to choking on food, and/or aspirating. This is a health & safety risk, and a risk to residents personal rights.

First aid training requirements

Based on LPA’s file review, three(3) out of five(5) staff, S1, S3, & S5, didn’t have current first aid certification as required, the licensee did not comply with the section cited above in [3] out of [5] staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews conducted resident was given the wrong medication. This poses an immediate Health risk to residents in care. This is the second violation in a 12 month period. Civil penalty is being issued in the amount of $250.00.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews, Licensee did not ensure 5 of 19 residents received medications per physician orders. This poses an immediate Health risk to residents in care.

1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (10)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidence by: Three out of six resident interviews revealed that residents are fearful and intimidated by another resident. This poses a potential health and safety risk to residents in care.