Chhina's Senior Guest House

Based on observation, the licensee did not comply with the section cited above in 5 out of 5 persons which poses an immediate safety risk to persons in care.

Based on observation and a record review, the licensee did not comply with the section cited above in 5 out of 5 persons (R1-R5) which poses a potential safety and personal rights risk to persons in care.

Based on observation & record review the licensee did not comply with the section cited above in 1 out of 5 residents (R1) which poses a personal rights risk to persons in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on prior LPA interviews and outside witness interviews. the licensee did not ensure resident was able to make their own decision on medical provider for 1 out of 5 [R1] persons in care this poses a potential health and safety risk to residents in care.

Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on prior LPA observations and outside witness interviews. the licensee did not ensure medications were inaccessible to 5 out of 5 [R1-R5] persons in care this poses an immediate health and safety risk to residents in care.

B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on prior LPA observation, the licensee did not comply with the section cited above in 1 out of 5 (R1) residents did not have a hospice care plan that specified a full bed rail was needed or an approval from the Department which posed a potential personal rights risk to persons in care.

Managed Incontinence. The...Licensee shall be responsible for the following: Ensuring...incontinent residents are checked... time when they are known to be incontinent, including during the night. Ensuring that... residents are kept clean and dry, and...the facility remains free of odors from incontinence.requirement was not met by as evidenced by:This is an amended version of the original report dated 2/27/2024. Based on interviews conducted with outside sources and residents and facility and outside source records reviews the Licensee assist residents were checked during times known to be incontinent and kept clean and dry from incontinence.This posed a potential health risk to [R1 and R2], 2 out of 5 residents in care.This is an amended version of the original report dated 2/27/2024.

Basic services shall at a minimum include Care and supervision as defined..."Care and supervision" means the facility assumes...responsibility...to provide... ongoing assistance with activities of daily living without the resident’s physical health, mental health...or welfare... endangered. Assistance includes... personal care.This requirement was not met as evidenced by:This is an amended version of the original report dated 2/27/2024. The Licensee did not provide ongoing assistance without resident’s physical health endangered. This posed an immediate health risk to [R1], 1 out of 5 residents in care.This is an amended version of the original report dated 2/27/2024.

Incidental Medical and Dental Care. A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical …care and provide for assistance in obtaining such care... The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including... life-threatening medical crisis....This requirement was not met as evidenced by:This is an amended version of the original report dated 2/27/2024. The Licensee did not assist with or obtain immediate care for an injury resulting in the loss of a resident's 1 [R1] limb.This posed an immediate health risk to [R1] one out of 5 residents in care.This is an amended version of the original report dated 2/27/2024.

Personal Rights of Residents... Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by:This is an amended version of the original report dated 2/27/2024. Based on resident and outside source interviews the Licensee did not treat residents with respect and dignity.This posed a potential personal rights violation to [R2], 1 out of 5 of residents in care.