Amariah Home Care

Based on record review and manager interview, Licensee did not ensure that 2 of 3 medication-passing staff (S1 and S3) had completed 8 hours of in-service training on medication-related issues within the the last twelve (12) months. This posed a potential health risk to 6 of 6 residents [R1 through Resident #6 (6)] in care.

Based on record review and manager interview, Licensee did not ensure that 2 of 6 residents (R2 and R5) had documentation of an annual routine visit with a licensed medical professional. This posed a potential health risk to persons in care.

Based on records review and manager interview, for 4 of 6 residents (R1 through R4), Licensee did not within the last 12 months arrange a meeting with the resident and required individuals to review and revise the resident's written record of care. This posed a potential health risk to persons in care.

Based LPA observation, records review, and manager interview, 2 of 6 residents (R3 and R4) had at least one restricted health condition, but Licensee did not have proof that 3 of 3 facility staff (S1, S2, and S3), who will participate in meeting the resident’s specialize care needs, completed training provided by a licensed professional, which included hands-on instruction in both general procedures and resident-specific procedures. This posed a potential health risk to persons in care.

Based on record review and manager interview, Licensee did not ensure that 3 of 3 staff (S1, S2, and S3) had completed 20 hours of training within the last twelve (12) months, of which 8 hours were required to be on dementia care and of which 4 hours were required to be on postural supports, restricted health conditions, and hospice care. This posed a potential health and personal rights risk to 6 of 6 residents [R1 through Resident #6 (6)] in care.

Based on records review and manager interview, Licensee did not ensure that the hospice agency trained 3 of 3 facility staff (S1, S2, and S3) on 1 of 6 resident' (R1's, who was under hospice care) current and ongoing individual care needs. This posed a potential health risk to persons in care.

Based on records review and manager interview, Licensee did not conduct a disaster drill at least quarterly for each shift. This posed a potential safety risk to 5 of 5 residents (R1 through R5) in care.

Based on records review and manager interview, for 5 of 5 residents (R1 through R5), Licensee did not have the name, address, and telephone number for both the resident's physician and their dentist readily available. This posed a potential health risk to persons in care.

Based on LPA observation, Licensee did not ensure that centrally stored medicines were 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 posed an immediate health and safety risk to 5 of 5 residents (R1 through R5) in care.

Based on records review and manager interview, Licensee did not regularly observe 5 of 5 residents (R1 through R5) for changes in physical functioning, to include unusual weight gains or losses. This posed a potential health risk to persons in care.

Based on record review and manager interview, Licensee did not have proof that 3 of 3 current staff (S1 through S3) received training on PPE withing the last year, as required. This posed a potential health risk to 5 of 5 residents (R1 through R5) in care.

Based on LPA observation, Licensee did not ensure that the facility had an auditory device (or other staff alertfeature) to monitor exits on 6 of 8 exterior doors which were accessible to residents who may be at risk forelopement. This posed a potential safety risk to 3 of 5 residents (R1, R2, and R3) in care.

Based on LPA observation, Licensee did not ensure that cleaning solutions and/or poisonous substances, which could pose a danger to residents, were in locked storage and not left unattended. This posed an immediate health and safety risk to 5 of 5 residents (R1 through R5) in care.

87224 Eviction Procedures: “(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified… (4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee initiated eviction proceedings against 1 of 5 residents (R1) on the basis of a need not previously identified, without performing a reappraisal pursuant to Section 87463 and providing a thirty (30) days written notice letter to the resident. This posed a potential personal rights risk to persons in care.