Esther Care Home

Based on file review, the licensee did not comply with the section cited above as S1's file did not have LIC503 and/or TB testing which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on medication audit, the licensee did not comply with the section cited above as LPAs observed Tylenol to be expired with date of 06/14, 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 LPAs observed multiple bottles of medication in S1's room which door was unable to be locked which poses an immediate health, safety or personal rights risk to persons in care.

Based on file review, the licensee did not comply with the section cited above as R1's LIC 602 indicated dementia but has not been reassessed in 2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and file review, the licensee did not comply with the section cited above as LPA osberved 1 out of 2 personnel file to be unavailable, which poses/posed a potential health, safety or personal rights risk to persons in care.

87203 Fire SafetyAll 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 observation, Licensee did not ensure facility was in compliance as LPA observed the fire door located on the right wing to be propped open with a door stopper, which poses an immediate risk to the residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. This requirement is not met as evidenced by: Based on record review and interview, Licensee did not ensure residents in care received medical attention in a timely manner as LPA was informed R1 fell at 3:35 AM and dislclosed her back hurts, but was not sent to the emergency room until approximately 7:15AM, which poses an immediately risk to the residents in care.

87309 Storage Space (a) Disinfectants...and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1)Storage areas for... other dangerous weapons shall be locked. Tbhis requirement is not met as evidenced by: Based on observation, Licensee did not ensure dangerous items were inaccessible as LPA observed the knife drawer to be unlocked, which poses a potential risk to residents in care.