Agape Senior Homes Llc

87507 Admission Agreements: (c) Admission agreements shall be signed and dated.. by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission...This requirement was not evidenced by: Based on interviews and records reveiwed, the Licensee did not ensure that an admission agreement was signed for Resident #1 within the same day period following admission per regulations. This poses a potential health, safety, and personal rights risk to persons in care.

87507 Admission Agreements: (g) Admission agreements shall specify the following:This requirement is not evidenced by: Based on interviews conducted and records reviewed, the Licensee did not ensure that the admission agreement for Resident #1 contained all the required components such as basic services, payment provisions, etc..This poses a potential health, safety, and personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed the current listed Administrator does not have a valid certificate. LPA observed the Administrator Certificate Bureau has not received a renewal application from the current listed Administrator.

Based on observation and interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed staff are currently living in the garage and in the den/library.

Based on observation and review of the facility sketch, the licensee did not comply with the section cited above as one bedridden resident is observed to be located in a room that is not identified which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation conducted during the facility visit, the licensee did not comply with the section cited above as one resident not admitted onto hospice was observed to use a bed equipped with full bed rails, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and records reviewed, the licensee did not comply with the section cited above as no records of an approved hospice waiver for three residents could be located which poses an immediate health, safety or personal rights risk to persons in care.

Based on records reviewed, the licensee did not comply with the section cited above as three out of five physician reports were observed to be dating by more than a year for residents with established dementia diagnoses. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records reviewed, the licensee did not comply with the section cited above in as one caregiver is observed to have CPR training expired which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on staff records reviewed, the licensee did not comply with the section cited above as continued annual training was not completed by staff in 2024, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on staff interview and records reviewed, the licensee did not comply with the section cited above as no fire and emergency drills have been conducted in the 2024 calendar year. This poses/posed a potential health, safety or personal rights risk to persons in care.