Follow-up on corrections·March 14, 2023

Citations

3 citations recorded^*CCLD

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  (h) The following requirements shall apply to medications which are centrally stored: (2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidence by facility had unsecured medication in the refridgerator which poses an immediate health and safety risk to persons in care.

• 87405(a)Type B

  Certified administrator requirements and substitute coverage

  All facilities shall have a qualified and currently certified administrator. . When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible... This requirement is not being met as evidenced by: Based on observation and interviews conducted, Licensee failed to ensure there was a designation of responsibility issued to LPA during absence of administrator. This poses a potential health and safety risk to residents in care.

• 87506(a)Type A

  Maintain separate complete record for each resident

  (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement was not met as evidenced by: Administrator had files at a separate location and was unable to produce them at the facility, which poses an immediate health and safety risk.