Young at Heart Rcfe No.1, Inc.

87457 Pre-Admission Appraisal (a) Prior to admission, the prospective resident...shall be interviewed ... (2) The prospective resident's desires regarding admission, and his/her background, including any specific service needs, medical background and functional limitations ... This requirement is not met as evidenced by: Based on record review and interviews, staff did not ensure to there was a Hoyer lift that can sustain R2's weight prior to admission and R2's extra large wheelchair fits thru the doorways. This poses an immediate/potential risk to residents in care.

Passageways and stairways kept clear

87307 Personal Accommodations and Services (d) ... safety provisions... (6) All outdoor and indoor passageways ... shall be kept free of obstruction, this requirement was not met as evidence by LPA observations and interviews in which LPA observed there was a hoyer lift and two mobility devices an exit passageway, this poses an immediate/potential health and safety risk for residents in care

Residents in all facilities must have rights

87468.1 Personal Rights of Residents in All Facilities (a) Residents ... personal rights: (2) To be accorded safe, healthful and comfortable accommodations ... and equipment. This requirement was not met as evidence by LPA observations, interviews, and record review in which it was the top and bottom bed rails were lifted in R2's bed and there was no physicians order available for review during this visit. Additionally, mobility devices were not available near R2 and R3 during this visit whom are non- ambulatory and require a mobility device. Moreover, R2 and S2 stated that R2 has only been in bed since move in date on 11/25/25. S2 stated there s not currently a hoyer that can up to 300 plus pounds at the facility the licensee is in contact with Master Care to get an safe and appropriate hoyer lift for R2. this poses an immediate/potential health and safety risk for residents in care

Maintain separate complete record for each resident

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. this requirement was not met as evidence by LPA observation, interview, and record reviews due to resident records for R2 where not readily available for review during this visit which poses an immediate/potential health and safety risk for residents in care including admission agreement, LIC 602, care plan, pre-appraisal, etc. this poses an immediate/potential health and safety risk for residents in care