Beth Haven

Based on record review, the licensee did not comply with the section cited above in [5] out of [7] facility staff records did not contain updated annual training which poses/posed a potential health, safety or personal rights risk to persons in care.

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This facility was found to be deficient as evidenced by a records review in which this facility, and it's representatives and staff, did not properly seek medical attention after a resident sustained an injury which posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights:To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This facility was found to be deficient as evidenced by a records review in which this facility, and it's representatives and staff, did not properly notify the responsible parties of a resident who sustained an injury posing an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Based on record review, the licensee did not comply with the section cited above in that [4] out of [7] facility staff training records did not meet the required number of update annual training hours which posed an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that facility staff did not have updated certified First Aid training on file which posed an immediate health, safety or personal rights risk to persons in care.

Care of Persons with DementiaThe following shall be stored inaccessible to residents with dementia:Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met as evidenced by: Based on LPA Jensen's observation of cleaning supplies accessible in both memory care buildings. This poses an immediate risk to teh health, safety and personal rights of residents in care.