Hazel Home for Seniors

Based on LPA's observations and records reviewed, the facility did not ensure that two (2) of five (5) non-ambulatory residents were residing in bedrooms approved for non-ambulatory residents, which poses an immediate health, safety, or personal rights risk to the residents in care.

Based on LPA's observations and records reviewed, the facility did not ensure to complete quarterly drills and maintain documentation for quarterly drills at the facility, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA's observations and records reviewed, the facility did not ensure to complete initial training for newly hired staff in accordance with the Health and Safety code and maintain documentation for initial training at the facility, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA's observation, the facility did not ensure that fire extinguisher was serviced, which poses an immediate health, safety or personal rights risk to persons in care.

87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure to send an invoice for R1's rent every month to R1's authorized representative in agreement with R1's Admission Agreement, which poses a potential health, safety, and personal rights risk to residents in care.

§1569.657 Rate increase due to change in level of resident care; notice (a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure to send a written notice to R1's authorized representative regarding a rate increase due to a change in the level of R1's care, which poses a potential health, safety, and personal rights risk to residents in care.

Based on records review, the licensee did not comply with the section cited above in 2 of 3 staff, S2 S3 do not have record of dementia training which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above in 3 of 3 residents who receive PRN medications do not have PRN authorization letters on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observatioj and records review the licensee did not comply with the section cited above in1 of 1 residents with Oxygen does not have a plan and staff training in place to assist R1 as needed which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above in two of three caregvers which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above in 3 out of 3 staff files S1 S2 and S3 did not have proof of medication training which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above in 2 of 3 caregivers do not have documented knowledge of nor designation to be a responsible party in the Administrator's absence 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 in chemicals unsecured in the kitchen and bathroom which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above in 3 of 4 resuidents R2 R3 and R4 which poses/posed a potential health, safety or personal rights risk to persons in care.