Abundant Care

Based on observations and interviews conducted the licensee did not comply with the regulation above when the kitchen refrigerator measured at 43.1 degrees (F) and the hallway freezer measured at 17.3 degrees F posing a potential health and safety risk to residents in care.

Auditory exit monitoring for elopement risk

Based on observations and interviews conducted, the Licensee did not comply with the regulation above when five stove handles/knobs were in place on the kitchen stove and accessible to residents in care which poses a potential health and safety risk to residents in care.

Based on observations and interviews conducted the Licensee did not comply with the regulation above as the gate on the southside of the facility does not have a self-closing latch and the front patio gate has the self-closing latch on the outside of the gate making it inaccessible to residents/staff when exiting the facility. This poses a potential health and safety risk to residents in care.

Dignity in personal relationships

Personal Rights. Residents in all residential olcare facilities for the elderly shall have all of the flowing personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons..This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure S1 accorded R1 with dignity when S1 inappropriately handled R1, which posed an immediate health, safety, and personal rights risk to residents in care.

Reporting Requirements. A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days… (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not by as evidenced by:Based on record review and interviews, the licensee did not submit required written incident report/death report to CCL within seven days, which posed a potential health, safety, and personal risk to residents in care.