Golden Years Care Home Ii

Kitchen sanitation against contamination sources

General Food Service RequirementsAll kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Based on LPAs observations of opened food items and roaches in chester of drawers in room 6. This violation poses an potential health, and safety risk to residents in care.

Provide resident hot water for personal care

Based on LPA observation, the licensee did not comply with the section cited above in 87303(e)(2). LPAs observed hot water temperature measured at 135 degrees F. which poses an immediate health, safety or personal rights risk to persons in care.

87609 Allowable Health Conditions and the Use of Home Health Agencies:The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s)...The written agreement shall reflect the services, frequency and duration of care. The written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. This requirement was not met as evidence by: the facility did not have a copy of the home health agency and licensee written care responsibilities agreement. This posed a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in LPA observed the first aid kit was not in compliance containing at least the following: a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, and Antiseptic solution which poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in that LPA observed kitchen knives in a cabinet to the left of the kitchen sink with a towel blocking the lock and personal care items stored in the kitchen and restroom accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in that LPA observed stored items not in good repair in the backyard and accessible to residnets in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in that LPA observed two of two Medication Administration Records (MAR)'s to not be filled out to document of medications administered and S1 stated they administer medications which poses an immediate health, safety or personal rights risk to persons in care.