Crest Home for the Elderly

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times...maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on LPAs observation, the back yard/back patio areas containing hazardous debris around and underneath ramp walkway, broken/unused furntiure, broken lumber, and exposed electrical wires which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having kitchen refrigerator locked, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having emergency exit gates kept locked, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not ensuring Resident #2 (R2) and Resident #7 (R7) PRN medication was properly documented in Medication Administration Record (MAR) with date, time, dosage taken, and residents reponse, which poses an immediate health, safety or personal rights risk to persons in care.

87219(b)Residents served shall be encouraged to contribute to the planning, preparation, conduct, clean-up and critique of the planned activities. This requirement is not met at evidenced by: The Licensee did not comply with the section cited above by four (4) out of five (5) residents interviews reveals they were not aware of staff planned activities which poses a potential health, safety, and personal rights risk to persons in care

87219(e)In facilities licensed for sixteen (16) to forty-nine (49) persons, one staff member, designated by the administrator, shall have primary responsibility for the organization, conduct and evaluation of planned activities. This person shall have had at least six (6) months experience in providing planned activities or have completed or be enrolled in an appropriate education or training program. This requirement is not met at evidenced by: The Licensee did not comply with the section cited above by not having a dedicated staff with required training and/or experience to plan and conduct resident activities which poses a potential healh, safety, and personal rights risk to persons in care.

1569.312 Basic Service Requirements (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, saftey, and well-being. Based on interviews, licensee failed to meet this requirement by not ensuring staff were properly supervising residents, which poses an immediate health, saftey or personal rights risk to persons in care.

Based on observation and record review the licensee did not comply with the section cited above by not ensuring Resident #1 (R1), Resident #2 (R2), Resident#3 (R3), Resident #4 (R4) medications were stored in it's orginal received container, which poses an immediate health, safety or personal rights risk to persons in care.

1569.312 Basic Service Requirements (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, saftey, and well-being. Based on interviews, licensee failed to meet this requirement by not ensuring staff were properly supervising residents, which poses an immediate health, saftey or personal rights risk to persons in care.

Based on Guardian Review the licensee did not comply with the section cited above in one of five employee records reviewed LIcensee failed to associate E1 to the facility number, which poses an immediate health, safety or personal rights risk to persons in care.

A facility may assess a separate charge for an item or service only if that separate charge is authorized by the admission agreement...Review of admission agreements do not include documentation of additional service charge of purchasing cigaretts for the residnets.

Personal Rights: To make choices concerning their daily lives in the facility. The facility failed to meet this requirement as evidenced by the facility refusing residents that smoke access to cigarettes.

Personal Rights:To wear their own clothes; to keep and use their own personal possessions, including their toilet articles; and to keep and be allowed to spend their own money. The facility failed to meet this requirement ass evidenced by failure to provide residents access to the cigarettes they purchased.