Villa Ambrosia

Every facility required to be licensed under this chapter shall provide at least the following basic services: (d)Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met based as evidence by interview and record review:Facility staff did not have knowledge of one (1) out of three (3) residents whereabouts which poses a potential health and safety risk for the resident in care.

Termination of admission agreement upon death of resident;(d) If fees are assessed while a resident’s personal property remains in a unit after the resident is deceased, a licensee shall, within three days of becoming aware of the resident’s death, provide to the resident’s responsible person, or other individual or individuals as identified in the admission agreement or attachment, written notice of the facility’s policies regarding contract termination upon death and refunds. This requirement is not met based as evidence by interview and file review. The licensee did not comply with the section cited above by not providing to R1 Responsible Party a written notice of the facility’s policies regarding contract termination upon death and refunds which poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice,... This requirement is not met based as evidence by interview and file review. The licensee did not comply with the section cited above by not allowing the R1 Hospice Social Worker visit R1 which poses an immediate health, safety or personal rights risk to persons in care.

Each facility shall have and maintain a current, written definitive plan of operation. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. This requirement was not met as evidence by: Based on the review of the facility's Plan of Operation under Care of Bedridden Residents, the licensee did not follow their policy in meeting R1's needs of repositioning R1 every two hours. This posed an immediate health risk to one out of five residents in care.

Managed Incontinence:..the licensee shall be responsible for the following: Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This requirement was not met as evidenced by Based on records reviewed and interviews conducted, the licensee did not ensure that R1, who was incontinent, was provided routine incontinent care during the night. This posed a potential health risk to one out five residents in care.

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 ….and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, the licensee did not assist R1 with their routine medication as prescribed. This posed a potential health risk to one of five residents in care.

Hospice Care of Terminally Ill Residents: The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, the licensee did not ensure that the hospice care plan matched the services actually being provided by facility staff to meet R1’s care needs at all times. This posed an immediate health risk to one of five residents in care.