Diaz Residential Care Home

Maintain physician order documentation in resident record

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record...This requirement is not met as evidenced by: Based on observations and record reviewed, all four residents at the facility had bed rails with no physician's order which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observations, living room was not observed to be clean. LPA observed piles of papers, pens, personal belongings on a desk, med-cart, boxes and bins in the living room which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observations and record reviewed, all four residents at the facility had bed rails with no physician's order which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303(a) Maintenance and Operation: 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 regulation has not been met as evidenced by: Per observations made LPA observed a disheveled desk in the living room with papers, tools, tissue boxes, and other items. The items can be knocked over and can pose a safety issue for staff and residents.