Channing House

Based on statement from staff, the licensee did not comply with the section cited above, as 1 out of 3 stairwells does not have an evacuation chair in center stairwell of main tower building. This poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as Acetaminophen 500 mg is stored in room #339, and this resident is unable to self store/self administer medications, per MD. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as staff write on Rx labels, which poses a potential health, safety or personal rights risk to persons in care.

Based on review of Centrally Stored Medications Records, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.OTC Senna & Rx acetaminophen filled 6/19/25 for room #104, OTC Tylenol 500 mg for room 112, Rx Mirapex filled 1/28/26 & Sanctura filled 2/6/26 for room #323, OTC Miralax & Rx Tylenol for room #263 not recorded on Centrally Stored Medications Records.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications… (5) Each resident's medication shall be stored… No medications shall be transferred between containers.This requirement was not met as evidenced by: Based on interviews and records review, the facility staff did not ensure R1 was given the correct medication as staff was transferring multiple residents' medications at the same time from the originally received container/bubble packs to small cups.

87411 Personnel Requirements – General (a) Facility 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 evidenced by: The facility staff was not able to prevent resident (R1) from eloping the facility on two separate occasions on 02/03/2025. R1 has dementia, deemed not able to leave the facility unaccompanied, and was able to leave the facility unaccompanied in the morning and evening of 02/03/2025, which posed an immediate health, safety, or personal rights risk to persons in care.

87468.1 (a)(2) Personal Rights of Residents in All Facilities(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Licensee did not ensure safe transferring or repositioning of resident R1. Resident R1 sustained a right arm fracture while in care. This possess an immediate safety risk to residents in care.

87465(a)(1) Incidental Medical and Dental Care: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Licensee did not seek timely medical care for R1 after R1 was found on the floor with a head injury and then was observed by staff to have vomited twice after the initial observation. 3 hours after staff initially found R1 on the floor, staff found R1 to have become non-responsive and then called 911 for R1, posing an immediate health risk to resident in care.