Advent Residential Home Ii

Must complete individual written admission agreements

Based on client record reviews, the licensee did not comply with the section cited above, as admission agreements for all clients are missing or incomplete, which poses a potential health, safety or personal rights risk to persons in care.

Based on staff record review, the licensee did not comply with the section cited above, as medication staff #4 has not received annual medication training since 2/2022, which poses a potential health, safety or personal rights risk to persons in care.

Facility must clear fire safety for bedridden persons

Based on client record review, the licensee did not comply with the section cited above, as two out of 6 residents are deemed to be BEDRIDDEN, per MD reports, but facility is not approved for bedridden residents and does not maintain fire clearance for bedridden clients.This poses an immediate health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on staff record review, the licensee did not comply with the section cited above, as night staff #2 does not have criminal record clearance associated to this facility. This poses an immediate health, safety or personal rights risk to persons in care.

First aid training requirements

Based on staff record review, the licensee did not comply with the section cited above, as staff #2, #3, #6 do not have proof of current first-aid training, which poses a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on staff record review, the licensee did not comply with the section cited above, as health screening and/or TB test results are not maintained for staff 2, #4, #6, which poses a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

Based on observation, the licensee did not comply with the section cited above, as clients' medications are pre-poured 10 days in advance. Seven-day pill organizers are observed, as well as plastic baskets containing small plastic cups for each clients' AM, PM, BT medications for 3 additional days. This practice poses a potential health, safety or personal rights risk to persons in care.

Based on client record review, the licensee did not comply with the section cited above, as ALL residents have bed rails--hospice client #4 has FULL bed rails. There are no MD orders for half bed rails and hospice care plan for client #4 does not include full bed rails.This poses a potential health, safety or personal rights risk to persons in care.

Based on review of staff training, the licensee did not comply with the section cited above, as there is no evidence of required 20 hours of staff training for staff 1, 2, 3, 4, 6, including 8 hours of dementia training and 4 hours specific to postural supports, restricted health conditions and hospice care. This poses a potential health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

PERSONAL ACCOMMODATIONS SERVICESAll outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met, as exit door from private bathroom in room #1--which is identifed by sign and included on facility sketch--cannot be fully opened because of ramp railing. One cannot exit down ramp because ramp is too narrow. Licensee failed to ensure that exit can be used for exiting., which poses an immediate health and safety risk for clients in care.

Facility personnel sufficiency and competence

ADMINISTRATOR QUALIFICATIONS DUTIESFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. .This requirement was not met, as 3 staff present upon LPA's arrival were unable to find PPE, client files, emergency contacts. Licensee failed to ensure that staff is competent to meeet the needs of clients, which poses an immediate health, safety, or personal rights risk to clients in care.

Safe, healthful, comfortable accommodations

PERSONAL RIGHTS OF RESIDENTS IN ALL FACILITIESResidents in all RCFEs shall have the personal right to be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met, as protocols for COVID screening of visitors, staff and clients is not in place. Visitors are not screened & asked for contact number, daily record of COVID screening/temp checks for staff and clients is not maintained. Licensee failed to ensure that COVID safety protocols are maintained, which poses an immediate health, safety or personal rights risk to clients in care.