Roxies Elderly Homes I

Signed rights acknowledgement in resident record

Based on record review, the licensee did not comply with the section cited above in that 4 of 4 resident records did not contain signed personal rights documents which poses a potential personal rights risk to 4 of 4 residents in care.

Submit and maintain current mailing address

Based on LPA observation and record review, the licensee did not comply with the section cited above as Person 1 (P1) was not background cleared and was present at the facility for more than 5 days. This poses an immediate safety risk to 5 of 5 persons in care.

Encourage resident participation in varied planned activities

87219 Planned Activities (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. This requirement has not been met as evidenced by: Based on interviews and LPA observations, the Licensee did not ensure activities were made available to residents. This poses a potential personal rights risk to 5 of 5 residents in care.

Limit postural support devices to mobility needs

87608 Postural Supports (a) Postural supports shall be ... used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including... preventing a resident from falling out of bed, a chair, etc. This requirement has not been met as evidenced by: Based on interviews, records review, and observations, the Licensee did not ensure bed rails were used for mobility. This poses an immedate safety risk to 2 of 3 residents in care.