J & M Care Home

Based on observation, the licensee did not comply with the section cited above in that incontinent odors were prevalent throughout this facility which poses 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 [1] out of [5] facility residents was unable to administer and handle any of their medications, including administering injections to oneself, and had to rely on the facility staff which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in [1] out of [3] facility personnel was dispensing medications without any certified hours of required medication training which poses 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 [2] out of [3] facility personnel did not possess current First aid training which poses 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 [2] out of [3] facility personnel records did not contain the required hours of initial and ongoing training which poses/posed a potential 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 [1] out of [3] facility personnel did not even have a file with all of the required forms and documents which poses/posed a potential 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 [1] out of [3] facility personnel did not possess proper fingerprint clearance and association to this facility which poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature…This requirement was not met as evidenced by: Based on interviews, S1 directed inappropriate language towards R1. This posed a potential health, safety, and resident rights risk to resident in care.

87303(a)Maintenance and Operation. The facility shall be clean, safe, and in good repair at all times for the safety and well-being of clients, employees and visitors.This requirement was not met as evidenced by : Based on observation, the licensee failed to repair the wooden gate access so that it provided secure access to the side of the home.Which poses a potential Health, Safety or Personal Rights risk to residents in care

Basic Services (c) "Care and supervision" means the facility assumes responsibility for, or provides... assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes ...personal care. This requirement was not met as evidenced by: based on witness observation by the ombudsmen office. This poses an immediate health and safety risk to resident.

Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 1 carbon monoxide alarms.There is no carbon monoxide detector, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPAs observation, the licensee did not comply with the section cited above in 87555(b)(8). LPAs observed expired canned goods and meat not properly packaged which poses/posed a potential health, safety or personal rights risk to persons in care.

87411(a): 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 evidence by: Based on record review, the facility did not comply with section 87411(a). Based on record review, R1 AWOL'd from the facility. The LIC 602 states the resident was not allowed to leave the facility unassisted. This presents an immediate health and safety risk to the resident in care.

Based on LPAs observation, the licensee did not comply with the section cited above in 87465(h)(2). LPAs observed unlocked medications which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPAs observation, the licensee did not comply with the section cited above in 87465(i). LPAs observed expired medication not properly disposed which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in 87309(a). LPA observed screw drivers, tools, scissors, cleaning solutions, and hammers which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above in87303(a). LPA observed 2 missing knobs on kitchen stove which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in 87307(d)(4). LPA observed missing wood from backyard ramp which poses/posed a potential health, safety or personal rights risk to persons in care.