Hidden Lane Villa

Based on observations, LPA observed two days perishables, however did not observe seven days non-perishables which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on staff record review, LPA observed two staff records without health screening and one staff record with a health screening that was done more than six months prior to employement, ] which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on resident records reviewed, one/five resident files did not have a signed admissions agreement which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on resident record reviewed, two/five resident files were observed to not have their safeguard of personal property and valuables documentation in file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observations, water temperature throughout the facility measured between 104-108.7 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

Licensee did not ensure that during review of R1-R6’s resident records, resident R3’s resident record contained a Medical Assessment (Physician’s Report), which poses a potential safety risk to residents in care.

During record review of resident R1-R6’s records, residents R1 and R6 has missing Safeguard for Property/Valuables forms, which poses a potential safety risk to residents in care.

Based on review of records, the licensee did not comply with the section cited above in 1 out of 5 reviewed staff first aid certification records, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review,, the licensee did not comply with the section cited above in 6 out of 6 Centrally Stored Medication Logs, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on review of records, the licensee did not comply with the section cited above in 2 residents with dementia out of 6 resident Physician's Reports, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on review of records, the licensee did not comply with the section cited above in 3 out of 6 resident Centrally Stored Medication Logs, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in the facility file, which did not contain an Emergency Disaster Log, which poses/posed a potential health, safety or personal rights risk to persons in care.