Golden Age Living 1

Clean linen quantity and hygiene supplies

Maintain personnel records at facility location

Based on record review, the licensee did not comply with the section cited above in one out of two staff records reviewed observed that one is not here, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

Based on observation and record review, the licensee did not comply with the section cited above in five out of six resident files reviewed, that there is one file for a resident that is not present, which poses/posed a potential health, safety or personal rights risk 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 by: Based on interviews conducted, Licensee did not comply as call lights for incontinence care are often not attended at night which poses a potential risk for residents in care.

Check incontinent residents during high-risk periods

87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night.This requirement is not met as evidenced by: Based on interviews conducted, Licensee did not comply to the section cited above as resident interviews revealed that at night there is minimal assistance by staff for incontinence care which poses a potential risk for residents in care.

Clean linen quantity and hygiene supplies

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of:(C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. This requirement is not met as evidenced by: Based on observation and interview, Licensee did not comply as facility did not have any paper towels and/or hand towels available for residents in care until a resident's family member arrived with paper towels which poses a potential risk for residents in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (B) Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. This requirement is not met as evidenced by: Based on observation and file review, Licensee did not comply as R1 is unable to store own medication but laxative and tylenol was observed in the room which poses an immediate risk for residents in care.

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (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, Licensee did not comply as the centrally stored medications are not in a locked space which poses an immeidtae risk for residents in care.