Mona Liza

Incidental Medical and Dental Care Services.Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by observation and photos taken, the facility is pre-pouring medication 7 days in advance. This poses a potential health and safety risk to residents.

HSC 1569.321(e)Basic services requirements: Every facility required to be licensed under this chapter shall provided at least the following basic services: Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidence by a facility visit conducted by Ombudsman officials on November 20, 2025, at approximately 12:10 PM., the facility was found to be without staff present. This poses an immediate health and safety risks to resident in care.

87303 Maintenance and Operation(a) 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 has not been met as evidenced by: Observation, LPA and staff observedThe facility grounds needs attention in the hallway floor transition piece is a trip risk and the roof is leaking in several spots. This violation posses a potential health and safety risk.

Incidental Medical and Dental Care:The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by

Basic Service Requirements. 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...This requirement was not met as evidenced by: Based on interview and record review, R1 eloped from facility on 11-9-22 and staff was unaware of R1's whereabouts for approximately 1 hour resulting in an absence of supervision. This posed an immediate health and safety risk to resident in care. An immediate civil penalty is assessed in addition to citation issued.

Reporting Requirements. (a)Each licensee shall furnish to the licensing agency such reports...including, but not limited to, the following:(D) Any incident which threatens the welfare, safety or health of any resident, such as...unexplained absence of any resident. This requirement is not met as evidenced by: Based on record review and interview, R1 eloped from facility on 11-9-22 and Licensee did not ensure a report was sent to licensing department per regulatory requirements. This posed a potential health and safety risk to residents in care.