Sunrise Terrace Rcfe I

Regular observation and documentation of resident changes

Observation of the Resident ...When changes such as...deterioration of...a physical health condition are observed, the licensee shall ensure that such changes are documented...This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above when they observed a change in R1's physical health condition and did not document the change which poses a potential health and safety risk to clients in care.

Report specified resident events within seven days

Reporting Requirements 87211(a)(1) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified... if any; and disposition of the case. This requiorment was not met by evidence of failure to report R1 hospitalization and admission of Administrator which put residents in potential danger.

Arrange appropriate medical and dental care

87465 Incidental Medical and Dental Care (1) Medications shall be centrally stored... (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees ... This requirement was not met by evidence of Medication Cart found with keys when staff unsupervised with resident present on 07/1/2024, which poses an imminent danger to residents in care.

Dignity in personal relationships

87468.1 Personal Rights ... (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met by evidence of Staff speaking language which resident did not speak or understand while in direct proximity on 07/01/2024. which poses a potential risk to resident in care.

Dignity in personal relationships

87468.1 Personal Rights ... (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met by evidence of Staff speaking a language which residents did not speak or understand while providing direct care on 06/03/2024. Which poses a potential risk to resident in care.

87465 Incidental Medical and Dental Care (1) Medications shall be centrally stored... (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees ... This requirement was not met by evidence of Medication Cart found to be unlocked and staff unsupervised with resident present on 06/03/2024, which poses an imminent danger to residents in care.

Regular observation and documentation of resident changes

87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, ... when such observation reveals unmet needs. When changes such as ... 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 requirement was not met by evidence of R1s hospitalization per Doctors visit, which put R1 in imminent danger.

87465 Incidental Medical and Dental Care (e) For every ...medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. (A-F information) This requirement was not met by evidence of S1 admission of not providing Med1, and then initialing Med1 MAR to indicate med was given. Which put R1 in imminent danger.