Gracious Living

Based on observation, interview and record review, the licensee did not comply with the section cited above by not completing the required Needs and Services Plan for Resident #1 (R1), Resident #2 (R2) and Rsident #3 (R3) which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having planned activities for the residents which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having the required skid mat in the residents shared bathroom shower which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) complete their Health Screening Report with their Physician which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having a complete Physician Report (LIC602) for Resident #1 (R1) as it's missing two (2) pages without R2's Physician signature which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having the required Infection Control Plan at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (R2) Admission Agreement was signed and dated by R2 or R2's Representative and the Licensee/Administrator which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by allowing Resident #1 (R1) to have a half bed rail without written order from R1's physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having at least one (1) night staff person awake and on duty at the facility as they have dementia residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #3 (R3) has updated Physician Report (LIC602) due to dementia diagnosis which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not locking the two (2) over the counter ointments found in the kitchen cabinet making it accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.