Shepherd Homes 2

Basic ServicesBasic services shall at a minimum include:...Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing...This requirement was not met as evidenced by: Based on interviews conducted with staff and residents, on 2 separate occasions residents required critical assistance and there was no staff in the dining room. This poses an immediate risk to the health, safety and personal rights of residents in care.

General Food Service RequirementsThe following food service requirements shall apply:...Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidenced by: Based on LPA's observation of expired food, and unsafe food storage practices during teh course of 2 site visits. This poses a potential risk to the health, safety and personal rights of residents in care.

Based on LPA observation, the licensee did not comply with the section cited above in LPA observed trash, unused bikes, vehicles, and children's toys around the sides and backyard area of the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observation the facility refrigerator has several containers without dates or labels which poses a potential health, safety risk to residents in care.

80087 Buildings and Grounds...(1) The licensee shall take measures to keep the facility free of flies and other insects.This requirement was not met as evidenced by: Based on LPA's observation of active insects in front hall, the bathroom located closest to the front entrance and kitchen. This poses a potential health, safety and personal rights risk to residents in care.

Based on observation, interview, and records review, the licensee did not comply with the section cited above that fire suppression system last inspected on 2/4/2020, last sticker placed in 11/2019 which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in that LPA observed food sitting on the floor in kitchen and food debris in refrigerator not clean. LPA observed paint and items not in use or good repair stored in backyard which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and records review, the licensee did not comply with the section cited above that medications not administered per physician's orders in that Resident one (R1) PRN for administration 3 times daily did not match medications count, 2 pills missing from start date beginning quantity of 42 and PRN log not documented administrations which poses an immediate health, safety or personal rights risk to persons in care.