Signature Living on Camelia Avenue

Based on records review, the licensee did not comply with the section cited above in 2 of 2 staff, S1 and S1, not having 20 hours annual training on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and records, the licensee did not comply with the section cited above in staff training was not completed quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Incidental Medical and Dental Care (a) (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met for R1 based on records and interviews.This posed a potential risk to R1.

Modified diets for medical necessity

General Food Service Requirements (b) (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met for R1 based on records and interviews.This posed a potential risk to R1.

Managed Incontinence (b)(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met based on statements by resident and staff. This posed a potential risk to R1.

Licensee reports required by licensing agency

Based on interview the licensee did not comply with the section cited above infor R4's recent incident and hospitalization which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with this section based on 2 of 2 staff records that did not have training on the facility's emergency and disaster plan. This posed a potential risk to residents

Based on interview and record, the licensee did not comply with the section cited above in quarterly emergency drills have not been recored which poses/posed a potential health, safety or personal rights risk to persons in care.

No stage 3 or 4 pressure injuries

Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement was not met based on records review which showed R1 was admitted to the facility with stage IV injuries. This posed an immediate risk to resident health and safety.

Arrange appropriate medical and dental care

Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility…by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met based on records review and statements that found R1 had recommendations for wound care that were not arranged for by the licensee. This posed an immediate risk to the resident.Civil Penalties are applied.

Healing Wounds (a), the licensee shall be permitted to accept or retain a resident who has a healing wound under the following circumstances: (1) When care is performed by or under the supervision of an appropriately skilled professional.This requirement was not met based on records review and interviews.This posed and immediate risk to the resident.

Perform a pre-admission resident appraisal

Based on records review, the licensee did not comply with the section cited above in 2 out of 6 residents not have apraisals or care plans on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Mark taps at high-temperature threshold

Based on observation of temperature taken, the licensee did not comply with the section cited above in 2 of 2 resident bathrooms temperature measured at 126' F which poses/posed a potential health, safety or personal rights risk, due to their ambulatory status, to persons in care.

Admission agreement signing and dating deadline

Based on records review, the licensee did not comply with the section cited above in 2] out of 6 resident files R5 and R6 did not have admission agreements on file which poses/posed a potential health, safety or personal rights risk to persons in care.