Parker Villa

87468.2(a)… residents… shall have the following personal rights: (8) to be free from neglect… This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not ensure that R1 and R2 were repositioned every 2 hours, resulting in pressure injuries. This poses an immediate health risk to 2 of 6 residents in care.

87415 Night Supervision (a)(1) In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises.This requirement has not been met as evidenced by: Based on interviews, the Licensee did not ensure that facility staff were present at all times. This poses an immediate safety risk to 6 of 6 residents in care.

87465 Incidental Medical and Dental Care (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement has not been met as evidenced by: Based on interviews, the Licensee did not ensure that staff correctly assisted residents with medication administration, which poses a potential health risk for 6 of 6 residents in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in that the facility is only licensed for one bedridden resident and both R1 and R2 are bedridden, which poses an immediate safety risk to 6 of 6 residents in care.

Based on interview, the licensee did not comply with the section cited above in that the Administrator was not present at the facility enough hours to oversee its operation which poses a potential safety and personal rights risk to 6 of 6 residents in care.

87211(a)(1) A written report shall be submitted… to the person responsible for the resident within seven days of the occurrence… This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not comply with the section cited above in that the Licensee did not notify R1’s responsible party of R1’s hospitalization. This poses a potential personal rights risk to 6 of 6 residents in care.

Based on observation, the licensee did not comply with the section cited above in that cleaning chemicals were not kept in locked storage, which poses an immediate health and safety risk to 6 of 6 residents in care.

Based on record review and interview, the licensee did not comply with the section cited above in that S1 did not complete a health screening and tuberculosis test which poses a potential health risk to 6 of 6 residents in care.

Based on observation, the licensee did not comply with the section cited above in that medication was stored in the unsecured refrigerator located in the kitchen which poses an immediate health and safety risk to 6 of 6 residents in care.

87415 Night Supervision (a)(1) In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises.This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not ensure that the facility had staff present at the facility overnight to provide care and supervision. This poses an immediate safety risk to 6 of 6 residents in care.

Based on observation, the licensee did not comply with the section cited above in that S1 has been working at the facility since August 2024, which poses an immediate safety risk to 6 of 6 residents in care.

Based on observation, the licensee did not comply with the section cited above in that cleaning chemicals, knives, and other sharps were not locked which poses an immediate safety risk to 6 of 6 residents in care.

Based on observation, the licensee did not comply with the section cited above in that unsecured medications belonging to a previous resident were stored in the facility fridge which poses an immediate safety risk to 6 of 6 residents in care.