Elle's Care Home

Ensure hazardous items are locked and not unattended

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

Keep prescriptions in original containers

Based on obserevations, all four residents' PM medication to be pre-poured into another container 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 resident files reviewed, 3/4 residents had half bed rails, however there were no physician's orders for the half bed rails which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observations, the water temperature throughout the facility measured between 123.6-129 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on resident records reviewed, LPA observed 3/4 residents to not have service plans in their files which poses/posed a potential health, safety or personal rights risk to persons in care.

Written exception request for prohibited conditions

Based on file reviewed, R1 does not have an exception to retain resident that has a restricted health condition. Based on file reviewed and observations, R1 has a foley catheter.

Agree in writing on agency and facility responsibilities

Based on file reviewed, LPA did not observe a service plan to care for R1's foley catheter or any document in writing for R1 to indicate what home health agency is responsible for and what the Licensee/caregivers are responsible for.