Paradise Care Home

87705 Care of Persons with Dementia: (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement...This requirement is not met as evidenced by: Based on R1's physician's report dated 4/2025, R1 has a diagnosis of dementia, has wandering behaviors and is unable to leave the facility unassisted. According to staff interviewed, they were not aware that R1's physician's report notes that R1 has wandering behaviors. Based on observations and interviews, the staff had the receiver for the auditory device turned off.

Based on record review, the Administrator did not ensure that the emergency drills are conducted quarterly and the last emergency drill was conducted on 04/06/2019 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the Administrator did not ensure hot water temperature at the sink faucet for 2 of 4 bathrooms is in the range of 105 - 120 degree F. The hot water temperature at the sink faucet measured 140.5°F in bathroom #1 and 142.2°F in bathroom #2, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the Administrator did not ensure that for 3 of 5 resident's medication prescription names, prescription numbers, and date filled were entered correctly in the Centrally Stored Medication Records, which poses/posed an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the Administrator did not ensure that for 3 of 5 resident’s prescription medication labels were not altered with the handwritten notes using a pen, which poses/posed a potential health, safety or personal rights risk to persons in care.