Jazba Care Stamp Mill

Based on observation ,medications cabinet was found to be open, accessible to residents and one residents medications were found on kitchen counter without any staff's supervision which poses/posed a potential health, safety or personal rights risk to persons in care.

87555 General Food Service Requirements (a) The total daily diet shall be of the quality(...)necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement is not met as evidenced by: Based on observation and interviews conducted, the facility had several food items that were expired and perishable items that were not in a container with a lid, which poses a potential health, safety, and personal rights violation to the residents in care.

Incidental Medical and Dental Care-(c)(3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response.This requirement was not met based on records review and interviews. Interviews found a lack of understanding odf the requirement and 3 of 4 resident medication records found PRN medications dispensed without the required documentatiuon.This posed a potential risk to residents.

Care of Persons with Dementia- Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff.This requirement was not met based on records and interviews which found that drills were not conducted as required.This posed a potential risk to residents.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on interviews and review of the Department's files, an incident report was not submitted for resident (R1) following a fall on 3/9/24, which posed a potential health and safety risk to residents in care.

87412 Personnel Records. (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement is not met as evidenced by: Based on staff and administrator's statements, not all staff files were present and available for review and the (3) that were reviewed did not have all of the requirement documentation, which poses a potential health and safety risk to residents in care.