Follow-up on corrections·December 12, 2023

Citations

5 citations recorded^*CCLD

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  Maintenance and Operation 87303 (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by; Based on observation, the licensee did not comply with the section cited above as the three resident rooms and the living room were missing window blinds, restrooms were not clean and sanitary and facility had expired food which poses a potential health and safety risk to residents in care.

• 87465(a)(4)Type A

  Assist residents with self-administered medication

  Type A 87465 Incidental Medical and Dental Care(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by; Based on observation, the licensee did not comply with the section cited above as based on a medication audit and record review R1 did not receive there medication as prescribed which poses an immediate health and safety risk to R1 in care.

• 87465(h)(6)Type B

  Record centrally stored prescriptions and refill data

  Type B 87465 Incidental Medical and Dental Care (h) (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:…… This requirement is not met as evidenced by; Based on observations and record review, the licensee did not comply with the section cited above as the licensee failed properly document R1 and R3’s medications on the CSMDR which poses a potential health and safety risk to residents in care.

• 87705(f)(2)Type A

  Fire approval and staff access to unlock systems

  87705 (f)(2) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication... vitamins....This requirement is not met as evidenced by: Based on observation, the license did not comply with the section cited above as the LPA observed medications in the facility accessible to residents which poses an immediate health and safety risk to residents in care.

• 87705(g)(1)Type A

  87705(g)(1) Care of Persons with Dementia. … Residents with dementia shall be allowed to keep personal grooming and hygiene items … unless there is evidence to substantiate that the resident cannot safely manage the items. This requirement is not met as evidenced by:Based on observation and record review, the licensee did not comply in the section cited above for two residents (R1,R4), which poses an immediate health and safety risk to resident in care.