Vita Bella Elderly Care Ii

"No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas.This requirement is not met as evidenced by: Based on observation, at least one resident was using an oxygen during this visit and LPA did not find any signage anywhere in the facility. This poses a potential health, safety and personal rights risks to residents in care.

Store centrally held medications in locked secure place

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. Based on observation, LPA found a resident medication inside one of the kitchen drawer, accessible to residents in care. This poses an immediate health, safety and personal rights risks to residents in care.

General Requirements for Allowable Health Conditions: The licensee shall complete and maintain a current, written record of care for each resident that includes, but is not limited to, the following: This requirement is not met as evidenced by: Based on record review and interview, the facility did not develop restricted health care plan for residents with restricted health conditions. This poses a potential health, safety and personal rights risks to residents in care.

Ensure hazardous items are locked and not unattended

87309(a) Storage Space and Access(a) Except as specified in subsection, 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 was not met as evidence by: Based on observations LPA Lee inspected the garage and observed the garage not locked and cleaning supplies are stored in the garage and multiple cleaning supplies was made accessible to residents in care. his posed an immediate risk to residents in care.

Give PRN medication by physician order

87465(c)(2) Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication…(2) Once ordered by the physician the medication is given according to the physician's directions.This was not met as evidence by: Based on interviews, record review and auditing residents’ medications on hand there were multiple discrepancies. R1’s medication was not given per doctor’s order and R2’s medication was not documented in the MAR log and has a surplus of 1 pill, which indicates that R2 was not given his or her medication as prescribed. This posed an immediate risk to residents in care.

Safe, healthful, comfortable accommodations

87468.1(a)(2)Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations... This requirement was not met as evidence by...Based on interviews R2 was not accorded a safe accommodations as R2 was struck on the eye by R1. This posed a potential health and safety risk to R1.

1569.72 Residents requiring skilled nursing or intermediate care; bedridden residents(b)(1) "bedridden"… assistance in turning and repositioning in bed or being unable to independently transfer to and from bed, except in a facility with… sufficient care staff… as determined by… regulations. This requirement was not met as evidenced by: Based upon interviews with residents, staff anddocuments received. The licensee did not ensure that the needs of resident were being met. This poses a potential health and safety risk to persons in care.

87465 Incidental Medical and Dental Care(a)(7) A plan for incidental medical and dental care shall be developed by each facility… When requested… a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement was not met as evidenced by: Based upon interviews with resident, staff and documents received, the licensee did not ensure that staff were administering proper medications to resident. This poses a potential threat to persons in care.

Right to freedom from abuse and neglect

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)(8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Based upon interviews with resident R1, R2, and staff S2, the licensee did not ensure that staff were meeting the needs for resident living in the facility. This poses a potential health and safety risk to persons in care.

85078 Responsibility for Providing Care and Supervision(1) 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 is not met as evidenced by: Based on interviews conducted and records reviewed, the licensee did not ensure that R1 was properly supervised resulting in R1 eloping from the facility which posses an immediate health and safety to persons in care

Report specified resident events within seven days

87211 Each licensee... furnish... licensing... reports... including, but not limited to...written report shall be submitted to... licensing agency and to the person responsible for the resident... seven days of... occurrence... This requirement was not met as evidenced by: Based on interviews and documentation received the licensee did not ensure that reporting requirements were met. This poses a potential risk to persons in care.

Regular observation and documentation of resident changes

87466 Observation of the Resident The licensee... ensure... observed... changes in physical, mental, emotional and social functioning... licensee... ensure... changes are documented... brought to... attention of... resident's physician... resident's responsible person... This requirement was not met as evidenced by: Based upon interviews, telephone calls anddocuments received. The licensee failed to document records of conversations discussed with responsible party and physician of resident. This poses apotential risk to persons in care.