Sterling Senior Community 9

87608(a)(1) Postural SupportsPostural supports shall be... used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movementThis requirement is not met as evidenced by: LPA observed R1 with a restraint while in their wheelchair, preventing R1 from standing which poses an immediate health and safety risk to persons in care.

Incidental Medical and Dental Care 87465(a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.The requirement is not met as evidenced by: R1 has a prescription for two creams used daily that are not availabled at the facility which poses an immediate health and safety risk to persons in care.

87465(h)(6)(C)Incidental Medical and Dental CareThe licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident...and includes: The drug name, strength and quantity This requirement is not met as evidenced by:Hydrocortisone cream for R1 was not listed the R1's Centrally Store Medication and Destruction record which poses a potential health and safety risk to persons in care.

87608(a)(5)(B) Postural SupportsBed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement is not met as evidenced by: LPA observed R2 with full bed rails. R2 is not on hospice. R2 may only have half bed rails which poses a potential health and safety risk to persons in care.

87303(a) Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times.This requirement is not met as evidenced by: LPA observed audio exit alarm across from room 5 not operational which poses a potential health and safety risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in two out of five staff records, which poses a potential risk to residents in care. S1 and S2 were not associated to the facility at the time of the inspection. Two Civil Penalties are Assessed.

Based on observation, interview, and record review, the licensee did not comply with the section cited above for 3 of 6 residents, poses a potential health, safety and personal rights risk to persons in care. LPA observed R1 had 1/2 bed rails installed on bed without Physicians order, R2 had a Physican's order for a 1/2 rail and did not have bedrails installed. Record review and interview revealed licensee did not have a written order from a physician in residents' files. LPA observed R3 had a full bed rail installed on bed, and record review revealed there is a physician's order for a 1/2 rail and R3 is not on hospice. This poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observations, the licensee did not compy with the section cited above in three out of three resident bathrooms where hot water temperatures measured between 122.5 and 132.9 degrees F. This poses an immediate risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above, in that the Administrator does not have a current valid certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in that 5 of 6 Residents had 1/2 bed rails and no written order from a physician were found in files. One Resident had a full bed rail and is not on hospice. This poses/posed a potential health, safety or personal rights risk to persons in care.