Follow-up on corrections·November 6, 2025

Citations

3 citations recorded^*CCLD

• 87307(a)(3)(C)Type B

  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.

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• 87465(h)(1)(B)Type A

  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.

• 87465(h)(2)Type A

  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.