Grace Home Ii

87309- (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as cleaning chemicals were accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

87555- (b) The following food service requirements shall apply:This requirement is not met as evidenced by: Based on observation, no snacks were available to residents, multiple food items were not labeled in kitchen area and the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

87219- (a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include:This requirement is not met as evidenced by: Based on observation, during inpection, no planned activities were available for residents as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on department inspection, resident (R1) was missing a side table, chair, lamp as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, 3 out of 5 staff files do not contain a physical and TB test as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, during inspection, chairs and personal belongings for residents were found to be locked up, which poses/posed 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 as 2 out of 5 residents require special diets and facility was not following the diet orders, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as multiple food items were found to have expired dates, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as bedbug spray and cleaning chemicals were accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, no snacks were available to residents and the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, during inpection, no planned activities were available for residents as required, which poses/posed a potential health, safety or personal rights risk to persons in care.

87463(a) Reappraisals- The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months......... This requirement is not as evidence by… Based on record review and interviews, it has been concluded that facility did not provide proper care and supervision for R1 which resulted R1s fall and death on 01/28/25 which poses an immediate health and safety risks for residents in care.

87466-Observation of the Resident- licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs……. This requirement is not as evidence by…. Based on record review and interviews, it has been concluded that facility did not reassess R1 for unmet needs despite multiple falls incidents from 08/2024 till 01/15/25, which poses immediate health and safety risks for residents in care.

80078(a) Responsibility for providing care and supervision. The licensee shall provide care and supervision as necessary to meet the client's needs. This requirement is not met as evidenced by: Based off of observation and record reviews ,it has been concluded that resident, R1 AWOL'd from the facility on 09/05/24 due to lack of care and supervision of staff which presents an immediate health and safety risk to the resident in care.

87405-Administrator - Qualifications and Duties- (d) The administrator shall have the qualifications .......If the licensee is also the administrator, all requirements for an administrator shall apply.(1) Knowledge of the requirements ......(2)Knowledge of and ability to conform to the applicable laws, rules and regulations……this requirement is not met as evidence by; Based on facility's observations and staff's interviews, facility does not have a qualified Administrator which poses health and safety risks to residents in care.

87303(a)- Maintenance and Operation-The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.... this requiement is not as evidenced by; CCL staff observed that resident room # 9 bathroom was not operating well and 2nd building resident's bathroom has broken mirror which poses immediate health and safety risks for residents in care.

87468.1 -Personal Rights of Residents in All Facilities -(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents....this requirement is not as evidenced by; CCL staff observed that facility has locked front entry doors with padlocks which pose a immediate health and safety risks for residents in care.

87468(a)(13)- Personal Rights of Residents in All Facilities- (13)To have access to individual storage space for private use....this requirement is not met as evidenced by; CCL staff observed that residents personal belongings were locked in thier closet(s) and were inaccessible to residents which poses immediate health and safety risks for residents in care.

87219(e)-Planned Activities -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 requiement is not met as evidenced by; CCL staff observed that there were no schdueld activties for residents and there was no staff assigned to do activities as required per this regulation which poses a potential health and safety risks for residents in care.

87555-(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained....This requirement is not met as evidenced by: During visit, LPA observed food supply with multiple expired items, and food items without date or label, which poses/posed a potential health, safety or personal rights risk to persons in care.

During visit, LPA observed food supply with multiple expired items, and food items without date or label, which poses/posed a potential health, safety or personal rights risk to persons in care.

85078(a)(1): Responsibility for Providing Care and Supervision-The licensee shall provide those services identified in the client's needs and services plan as necessary to meet the client's needs. This requirement was not met as evidenced by: documentation, record review and interview. Administrator and facility staff failed to supervise client in care resulting in C1s unsupervised AWOL, who then stayed overnight at a local mall. This poses an immediate risk to clients in care.