Melrose Care Home Ii

Based on records review and manager interview, licensee did not ensure that the name, address, and telephone number of each resident's dentist was readily aviable to that resident, the licnesee, and facility staff. This posed a potential health risk to 4 of 4 residents (R1 through R4) in care.

Based on LPA observation and manager interview, Licensee did not maintain the facility in continuous conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire. This posed an immediate safety risk to 4 of 4 residents (R1 through R4) in care.

Based on records review and manager interview: Licensee did not conduct an emergency/disaster drill at least quarterly for each shift and document them. This posed a potential safety risk to 4 of 4 staff (S1 through S4) and 3 of 3 residents (R1, R2, and R3) in care.

Based on records review and manager interview, for 3 of 3 residents (R1, R2, and R3), Licensee did not complete a care reappraisal of the resident and meet with their responsible person to review it, at least once every twelve (12) months. This posed a potential health and personal rights risk to persons in care.

Based on records and manager interview, for 1 of 3 residents (R1), Licensee did not record in the resident’s record the date, time, dosage, and client’s response to PRN dose(s) which were given to them. This posed a potential health and personal rights risk to persons in care.

Based on records review and manager interview: The Licensee did not ensure that 3 of 3 residents (R1, R2, and R3) were regularly observed for changes in physical functioning, specifically weight gain/loss. This posed a potential health risk to persons in care.

Based on records review and manager interview, for 3 of 3 residents (R1, R2, and R3), Licensee did not prepare a written record of care the resident will receive in the facility, to include the resident's preferences regarding the services provided at the facility, and meet with the resident and/or their responsible person to review it, at least once every twelve (12) months. This posed a potential health and personal rights risk to persons in care.

Based on records review and manager interview: Licensee did not ensure that 4 of 4 staff [S1 through S4] were trained on Resident's Personal Rights, initially and ongoing. This posed a potential health risk to clients in care.

Based on records review and manager interview: Licensee did not ensure that 4 of 4 staff [S1 through S4] were trained in the proper use of all required PPE prior to being around residents and at least once per year (annually). This posed a potential health risk to 3 of 3 residents (R1, R2, and R3) in care.

Based on records review and manager interview, Licensee did not ensure that 4 of 4 staff (S1 through S4) received training on the facility's emergency/disaster plan, to include their individual responsiblities during an emergency/disaster, upon hire and annually thereafter. This posed a potential safety risk to 3 of 3 residents (R1, R2, and R3) in care.