Palm Valley Care I

Conformance with applicable laws and regulations

Administrator – Qualification and Duties: The administrator shall have the qualifications… Knowledge of and ability to conform to the applicable laws, rules and regulationsThis requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the regulation cited above. The licensee did not meet the terms of the federal wage settlement agreement. This poses a potential health, safety, and/or personnal rights risks to residents in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above. Hot water temparature in 2 resident bathroom faucets were measured between 127 and 133 degress Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Store disinfectants separately from food supplies

Based on observation, the licensee did not comply with the section cited above. LPAs observed chemicals stored in a garage cabinet where food supplies are being stored. Cabinet was not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Arrange appropriate medical and dental care

Based on observation and record review, the licensee did not comply with the section cited above. Review of resident's medication revealed that 3 medications were not in compliance with the physician's orders. Additionally, one medication was observed to be expired. This poses/posed a potential health, safety or personal rights risk to persons in care.

Separate storage for cleaning chemicals

Based on observation], the licensee did not comply with the section cited above. LPAs observed chemicals stored in a garage cabinet where food supplies are being stored, which poses an immediate health, safety or personal rights risk to persons in care.

Kitchen sanitation against contamination sources

Based on observation, the licensee did not comply with the section cited above. LPAs observed 2 dead cockroaches inside the kitchen freezer and a small live cockroach inside a sliding kitchen drawer. Administrator/licensee is unable to privide proof of pest control services at this time, which poses/posed a potential health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the regulation noted above. During inspection of the kitchen, visiting LPAs observed the medication cabinet to be unlocked and medications were accessible to residents in care which poses an inmeediate health, safety, and pesonal risks to persons in care.

Facility personnel sufficiency and competence

87411 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 is not met as evidenced b: Based on interview and record review, the licensee did not comply with the regulation cited above. Upon arrival at the facility, there were no qualified staff members on duty, except for one individual who was not authorized to work at this location. This poses an immediate health, safety and personal risks to persons in care.