Follow-up·September 29, 2023

Citations

3 citations recorded^*CCLD

• 87506(a)Type B

  Maintain separate complete record for each resident

  87506 Resident Records: 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.Violation of this regulation is not met as evidenced by: Based on record review and staff interviews, facility misplaced R1's file and are unable to provide R1's records (admission agreement, pre-appraisal, care plan) to licensing staff when R1 was residing at Vista Terrace of Belmont, prior to the emergency evacuation

• 87458(a)Type B

  Obtain baseline medical assessment before resident admission

  87458 Medical Assessment :(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.Violation of this regulation is not met as evidenced by: Based on record review, R1's physicians report is dated 12/20/2021 and R1 had a change in condition that was discussed during a care conference on 4/19/2023. Nevertheless, the facility failed to ensure R1's physician's report was current.

• 87507(c)Type B

  Admission agreement signing and dating deadline

  87507 Admission Agreement: (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission...Violation of this regulation is not met as evidenced by: Based on record review, facility failed to maintain a copy of a signed and dated admission agreement for R1 prior to admission at Vista Terrace of Belmont.