Five Star Care Home

Ensure hazardous items are locked and not unattended

Based on observations, LPA observed the medications, sharps and chemicals unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

Based on 5/5 resident records reviewed, the service plans were not completed and were not signed by residents/resident's responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.

Separate storage for cleaning chemicals

Based on observations, LPA observed chemicals in a cabinet with food in the garage which poses an immediate health, safety or personal rights risk to persons in care.

Onsite food stock levels for nonperishables and perishables

Based on observations, facility does not have a two day supply of perishables which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on residents file reviewed, LPA observed one resident (R1) to not have a physician's report in the file which poses an immediate health, safety or personal rights risk to persons in care.

Maintain admission agreement and appraisal

Based on 5/5 resident record reviewed,, 5/5 resident files reviewed did not have signed pre-admissions appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

87506 Resident Records:(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This regulation has not been met as evidenced by: Based on resident records reveiwed, 3 resident files are not current. Needs and appraisal plans are not completed as well as other items such as current physician reports as several are from when the resident was admitted to the facility. This can pose a potential health and safety risk to residents in care.

80075(f) Health Related Services (f) Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross. This regulation has not been met as evidenced by: Based on faciltiy staff files reviewed, 3 of 3 staff files indicate that first aid cards expired on 05/2024. This can pose a potential health and safety risk for residents in care.

Safe, healthful, comfortable accommodations

Based on observation, interview and record review, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. The facility failed to provide documentation for the daily residents and staff members screening log; the facility failed to provide documentation for the visitor's screening log, facility failed to post COVID sign on front door.