Eskaton Village

Managed Incontinence- (b)… the licensee shall be responsible for the following:(3) Ensuringthat incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement was not met based on records and statements that on 2/15/24, R1 was not assisted withincontinence for an extended period. This posed a potential risk to the resident.

Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met based on documents and statements that showed at times there are insufficient staff to meet the needs of residents.This poses a potential risk to residents in care.

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 based on records and statements that resident was not served a special diet as ordered a physician. This posed an immediate risk to the resident's health and safety.

Administrator - Qualifications and Duties (h)(5) Provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and needs… this requirement was not met based on records and interviews that found insufficent training and oversight over special diet services to residents and supervision of food service staff which contributed to a resident death.This posed an immediate risk to resident's health and safety.

Basic Services (f)(4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating… This requirement was not met based on records review, interviews and a resulting death of a resident. Evidence found resident was not provided identified eating assistance.This posed an immediate risk to resident's health and safety.

Reporting requirements (a) (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified .... This report shall include the …nature of event… and disposition of the case. This requirement was not met based on records of incident and death report regarding R1 on 3/11/23 that failed to report timely and did not contain the nature of the event.This posed a potential risk to residents.

Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on interviews conducted, the facility did not ensure that they had a completely operable fire alarm system, which poses an immediate health, safety, and personal rights risk to residents in care