Golden Years Residential Care

Based on record review and obervation, the licensee did not comply with the section cited above by not ensuring that staff 2 completed a CPR/First Aid certification, 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 the fire department was notified, 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 they obtained a fire clearance for a third bedridden resident (the facility has a clearance for , which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not ensuring the the lower railings on the outdoor ramp in resident room # 1 were in good repair, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above by not ensuring that resident bedroom 1's exit door was unobstructed, which poses/posed 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 have a physician's report and tuberculosis clearance, 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 resident files contain physician's orders for 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 staff members have completed First Aid/CPR certification, which poses an immediate 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 by not ensuring facility had an identifiable carbon monoxide detector, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not ensuring scissors and knives were kept inaccessible to residents in care which poses an immediate health, safety or personal rights risk to persons in 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...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by:Interviews and records reviewed revealed that R1's gums were observed bleeding from poor oral care. This poses as a potential health and safety risk to residents in care.

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating... This requirement was not met as evidenced by:Interviews and records reviewed revealed that R1 needed maximum assistance with ADLs, and although food was provided, assistance while R1 was eating was not provided as observed by witnesses. This poses as a potential health and safety risk to residents in care.

(b) In addition to the requirements as specified in Section 87208...the plan of operation shall address the needs of residents with dementia, including: (2) Safety measures to address behaviors such as wandering, aggressive behavior... This requirement was not met as evidenced by:Interviews and records reviewed revealed that R1 had behaviors commonly seen in persons with Dementia and staff would keep R1 in their room with their door closed to address these behaviors. This poses as a potential health and safety risk to residents in care.

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshall. This requirement was not met as evidenced by:Based on LPA observations and Staff interviews, Resident 1 was observed in a room next to the kitchen labeled as staff room. This pose as a potential health and safety risk to resident in care.

Based on LPA observation and staff interview the licensee did not comply with the section cited above in which medication was prepoured for residents in medicine cups. Which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA record review, the licensee did not comply with the section cited above one of four physicians report was not completed within the year.