The Elderly Inn I

Based on observation, the licensee did not comply with the section cited above as there were disinfectants and cleaning solutions unlocked in the care home, which poses an immediate health, safety or personal rights risk to persons in care.

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, the Licensee did not ensure that (2) medications (Valproic Acid 250mg and Deep Relief CBD 50mg/ml), belonging to resident (R1), that need refrigeration were kept in a safe and locked place in the refrigerator, and inaccessible to residents, posing an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the License/Administrator did not ensure that resident's (R1) hospice company was contacted promptly after resident was found on the floor, on 3/19/24 (around 9:00am), bleeding and soaked in urine, which posed an immediate health and safety risk to residents in care. Hospice was made aware when they arrived on 3/19/24 (12:00 pm) for a scheduled appointment with resident, and after (R1) had been laying on the floor for 2+ hours.

87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Based on documentation reviewed from hospice, the Licensee/Administrator did not ensure that resident's (R1's) hospice company was notifiied on 3/15/24, within 4 hours of resident not showing any urine output, and on 3/19/24, when resident was found laying in a soiled diaper and urine soaked clothing and had been on the floor for at least 2 hours, which posed an immediate health and safety risk to residents in care.b

87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the Licensee/Administrator did not ensure that a staff member was alerted when resident (R1) woke up and walked to the garage on 3/14/24 and on 3/15/24, which posed an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above as staff training documentation was not available at the time of inspection, which posed a potential health, safety or personal rights risk to persons in care.