Elderly Haven

Store centrally held medications in locked secure place

Incidental Medical and Dental Care: “(h) The following requirements shall apply to medications which are centrally stored: (2) 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 was not met, as evidenced by: Based on observations, the licensee did not ensure medications were inaccessible to 5 out of 5 [R1-R5] residents, which poses an immediate health and safety risk to residents in care.

Maintain separate complete record for each resident

Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not maintain records for 1 out of 5 [R1-R5] residents and a former resident, which poses a potential health, safety and personal rights risk to residents in care.

Facility personnel sufficiency and competence

87411 Personnel Requirements – General: “(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.” This requirement was not met, as evidenced by: Based on interviews, Licensee did not ensure that facility personnel at all times were sufficient in numbers to provide the services necessary to meet the needs of 4 of 4 residents (R1 through R4). This posed an immediate health and safety risk to persons in care.

87465 Incidental Medical and Dental Care: “(h) The following requirements shall apply to medications which are centrally stored: (2) 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 was not met, as evidenced by: Based on interviews, Licensee did not ensure that centrally stored medications were kept in a safe and locked place that is not accessible to persons other than employees responsible for them. This posed an immediate health and safety risk to 4 of 4 residents (R1 through R4) in care.

Store centrally held medications in locked secure place

Based on observations and interviews, the licensee did not ensure medications were centrally stored and made inaccessible to 2 of out 4 residents [R1-R4]. which poses an immediate health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observations and interviews the licensee did not comply with the section cited above in 4 out of 4 residents [R1-R4] which poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observations, the licensee did not comply with the section cited above in 1 out of 4 [R1] residents which poses an immediate health and safety risk to persons in care.

Store centrally held medications in locked secure place

Based on observations, the licensee did not comply with the section cited above in 1 out of 4 [R1] residents, which poses an immediate health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation. 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 is not met as evidenced by: Based on observations and interviews, the licensee did not ensure the facility was free of roaches for (R1) 1 out of 5 residents. This posed a potential health and safety risk to residents in care.