Devon Place Home Care

Based on observation, interview, and record review, the licensee did not comply with the section cited above in conducting a quarterly disaster drill with staff for each shift 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 in having a three (3) inch oval hole in the floor near the dining room 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 in having disinfectants and cleaning solutions accessible to residents in care. Cabinet under the sink was unlocked which contained disinfectants and bug spray 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 in having one (1) individual (S1) working at the facility providing care and supervision to residents in care without having fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in having pre-admission appraisal available for records review for Resident One (R1), Resident Two (R2), and Resident Three (R3) 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 for R1 and R2 having dispensed PRN medication without documenting either time and/or date the dosage was taken 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 in having expired medication prescribed to Resident six (R6) marked as "Back-up meds" with a use before date of 10/01/2022 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in having an annual medical assessment conducted for Resident Two (R2), Resident Three (R3), Resident Four (R4), and Resident Five (R5) 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 in having sharp objects and scissors in a unlocked kitchen drawer which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and records review, the licensee did not comply with the section cited above in having an updated roster with the current residents which poses/posed a potential health, safety or personal rights risk to persons in care.

87468.2 (a)(8) Additional Personal Rights of Residents in Privately Operated Facilities - To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse… this requirement was not met as evidenced by: Based on interviews and records review, the Licensee did not comply with the section cited above in 1 out of 1 resident was not refunded their allotted prepaid monthly fee’s which posed a potential personal rights risk to one of X of residents in care.

87555 (a) General Food Service Requirements - (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner… this requirement was not met as evidenced by: Based on two separate LPA observations, the Licensee did not comply with the section cited above in 5 out of 5 residents were being provided expired food which posed a potential health risk to 5 of 5 of residents in care.

Based on observation of interactions between R4 and S2 while at the facility and based on interview with R1, the licensee did not comply with the section cited above in 2 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation of facility records and staff's admission , the licensee did not comply with the section cited above in 2 out 2 staff members, and the administrator.which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review of the fire drills, the licensee did not comply with the section cited above in 2 out of 2 fire drills which were not completed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation of the emergency food supply, there was none presen, the licensee did not comply with the section cited above in 1 out of 1, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation of facility records residents with dementia have no medical assessment., the licensee did not comply with the section cited above in 2 out of 5 resident files which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and review of medication records, the licensee did not comply with the section cited above in 5 out of 5 for all residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observations knives were accessible to the residents, the licensee did not comply with the section cited above in 6 out 6 counts, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review of all resident files, the licensee did not comply with the section cited above in 5 out of 5 residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Personal Accomodations and Services- (d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by: The Licensee did not ensure the facility flooring was in good repair. Based on LPA observations, the floor in the area of the dining area was observed to be peeling, bubbled, chipped away, and misshapenThis poses a potential health, safety, and personal rights risks to residents in care.

Maintenance and Operation- (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: The Licensee did not ensure the facility kitchen and refrigerator were maintained with cleanliness. Based on LPA observations, the kitchen and refrigerator were observed to have grime, mold, food staining, and hair.This poses a potential health, safety, and personal rights risks to residents in care.