Devereux Foundation - Weisman Center (rcfe)

87468.2(a)(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the section cited above when staff left a client alone and unsupervised in the facility vehicle which poses an immediate personal rights risk to residents in care.

87506(c)(1) Resident Records…The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative.This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above when R1’s RP was not provided records, which posed a potential health, safety and personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in seventeen of the seventeen employee training files reviewed, which poses an immediate health, safety, or personal rights risk to persons in care.

87465(c)(2) Incidental Medical and Dental Care: Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above when staff did not follow physician’s orders for medications, which posed an immediate health and safety risk to residents in care.

87465(c)(2) Incidental Medical and Dental Care: Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by:Based on records review, the licensee did not comply with the section cited above when staff did not follow physician’s orders for medications, which posed an immediate health and safety risk to residents in care.

87506(c)(1) Resident RecordsThe licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above cited section when they failed to provide R1’s responsible party’s attorney all of R1’s records as requested in a subpoena, which posed a potential personal rights risk to clients in care.

87468.1(a)(2) Personal Rights of Residents in All Facilities: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Based on LPA observation, Licensee failed to ensure all staff wore face coverings properly at all times while in the facilities. Staff 1, Staff 2, and Staff, 3 were not properly wearing a mask at the time LPA entered into the facility which poses an immediate health, safety and personal rights risk to residents in care.

87465(c)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above when staff did not follow physician’s orders for medications, which posed an immediate health and safety risk to residents in care.

Based on interview and record review, the licensee did not ensure the facility currently has a certified Administrator, which poses a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with regulation above when HCS 1 was present in the facility without wearing the mask properly, which poses an immediate personal rights risk to residents in care.

Based on interview and record review, the licensee did not ensure that HCS 2 had a fingerprint clearance prior to working, which posed an immediate health and safety risk to residents in care

87405(a) Administrator – Qualifications and Duties: All facilities shall have a qualified and currently certified administrator....This requirement was not met as evidenced by: Based on interview and record review, the administrator failed to ensure the facility had a certified administrator on the premises when the facility failed to submit the required paperwork within 30 days of the new administrator designation which poses an immediate health and safety risk to residents in care.