Amazing Home

REAPPRAISALSThe licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every 12 months, either in person or by video appointment. Documentation... shall be added to the resident's record... resident's refusal to receive an annual routine visit... shall be added to the resident's record.This requirement is not met, as 3 out of 5 clients are missing current MD assessments. Licensee failed to ensure that annual MD reports are maintained, which poses a potential health, safety or personal rights risk

Maintain facility in clean, safe, sanitary condition

MAINTENANCE AND OPERATIONThe 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 requirement is not met, as there are discarded furnishings in backyard, which poses a potential health, safety or personal rights risk to clients in care. Licensee failed to ensure that facility grounds are free of debris--metal bed frame, metal chairs, mattress, bathtub.

Ensure hazardous items are locked and not unattended

STORAGE SPACE & ACCESSExcept as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances..., matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage, and are not left unattended...This requirement is not met, as liquid detergents, liquid bleach, and liquid Comet cleaner are stored in hallway closet and client bathroom, accessible to clients. Licensee failed to ensure that cleaning chemicals are secured and inaccessible to clients.

Maintain admission agreement and appraisal

Based on review of clients' records, the licensee did not comply with the section cited above in 3 out of 5 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Monthly rate for basic services is not included on Admission Agreements for clients #1, #4, #5, who are place by Institute on Aging. The "IOA Agreement for Financial Responsibility as part of Community Care Settings Program"--which specifies monthly rates--is not maintained for these 3 residents.

Based on facility records review, the licensee did not comply with the section cited above, as the most recent disaster drill was documented in December 2023. This poses a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on staff records review, the licensee did not comply with the section cited above in 3 out of 6 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.There is no health screening and/or TB test result on file for staff #3, #5, #6.

Complete admission suitability appraisal

Based on review of clients' records, the licensee did not comply with the section cited above in 1 out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no pre-admission appraisal/needs and services plan for client #5, who was admitted 2/2023.

Maintain grab bars for toileting and bathing

Based on observation, the licensee did not comply with the section cited above in 1 out of 2 client bathrooms observed, which poses a potential health, safety or personal rights risk to persons in care.- In private bathroom in master bedroom, there are no grab bars in shower stall and toilet.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above, as spray sanitizer--labeled Keep out of Reach of Children--is stored in room of client #5, Comet liquid cleanser stored in common bathroom, wood cleaner stored in linen closet. All cleaners are accessible to clients. which poses an immediate health, safety or personal rights risk to persons 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; the facility failed to post COVID-19 signage in the living room and dining room.