Routine inspection·September 20, 2024

Citations

8 citations recorded^*CCLD

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Based on observation, the licensee did not comply with the section cited above, as detached storage shed in backyard is not locked, and Lysol liquid cleaner and laundry cleaning fluids are stored inside. This poses an immediate health, safety or personal rights risk to persons in care, as cleaning liquids are not secured.

• 1569.625(b)(2)Type B

  Based on staff record review, the licensee did not comply with the section cited above, as there is no documentation that caregivers have received required 8 hours of annual dementia training and 4 hours of annual hospice care, restricted health conditions, and postural supports training.This poses a potential health, safety or personal rights risk to persons in care.

• 1569.69(a)(2)Type B

  Based on staff record review, the licensee did not comply with the section cited above, as there is no evidence that caregivers have received required 8 hours of annual medications training. This poses a potential health, safety or personal rights risk to persons in care.- There is no evidence that staff #4 and #5 have received required 8 hours of annual medications training.

• 87411(f)Type B

  Health screening and fitness requirements

  Based on staff record review, the licensee did not comply with the section cited above in 2 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Health screenings and TB test results for staff #2 and #4 are not on file.

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  Based on observation, the licensee did not comply with the section cited above in 1 out of 5 resident rooms, as Centrum multivitamins, Vitamin C, Milk of Magnesia, Tylenol and Magnesium are stored in room #3, where client #1 resides.Client is not able to self store and administer medications, per MD.This poses an immediate health, safety or personal rights risk to persons in care.

• 87468.1(a)(6)Type A

  Freedom to leave and not be locked in

  Based on observation, the licensee did not comply with the section cited above in 1 out of 5 residents rooms observed, which poses an immediate health, safety or personal rights risk to persons in care.Client #2 resides in room 1 with a sliding glass door, which is secured with a screw so client cannot access the door "because she escapes," per staff.

• 87608(a)(3)Type B

  Maintain physician order documentation in resident record

  Based on client record review, the licensee did not comply with the section cited above, as there is no MD order for half bed rails for client #4, which poses a potential health, safety or personal rights risk to persons in care.

• 87705(c)(5)Type B

  Based on client record review, the licensee did not comply with the section cited above, as client #5 is diagnosed with dementia, and appraisal is dated in 2019. This poses a potential health, safety or personal rights risk to persons in care.