Juliette's Gardens (rose)

Based on record review and interview, the licensee did not comply with the section cited above. The facility's last drill was on August 18, 2025. S1 stated that was the only drill conducted in 2025. This poses/posed a potential health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation, interview and record review, the licensee did not ensure that sliding exit doors tracks were free of obstruction. LPA observed a pole obstructing the sliding exit door tracks which poses an immediate health, safety or personal rights risk to persons in care.

Report specified resident events within seven days

87211 Reporting Requirements(a) (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events...This requiement is not met as evidenced by: Based on interview and record review, ADM did not ensure to report was submitted to the licensing agency when resident being hospitalized after a fall and when two out of three residents had scabies at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee did not comply with the section cited above in 1 out of 3 residents did not have a signed LIC 9158 document on file and medical assessment stated the R3 is hearing-imparied and wears a hearing aid which poses/posed a potential health, safety or personal rights risk to persons in care.

Admission agreement signing and dating deadline

Based on record review, the licensee did not comply with the section cited above in 2 out of 3 residents did not have Admission Agreements signed by Responsible Party and Facility Representative which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in 1 out 3 residents had half-side bed rails attached to the bed without a written order from their physician which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents with demenita diagnosis did not have an updated Phyician's Report, LIC 602A and updated appraisal/needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review,, the licensee did not comply with the section cited above in 1 out of 3 residents did not have a signed copy of Personal Rights of Residents on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Prohibit false or misleading facility statements

Based on record review, interview and observation, R1's medications were counted during today's visit, the tablets/capsules in the prescription bottle did not match the doses given R1 based on the Medication Administration Record (MAR). This concludes the facility staff noted doses were given to R1 when medication was not adminstered, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Facility personnel sufficiency and competence

Based on record review, interview and observation R1's 4 out of 10 medications not administered to R1 as prescribed by the physician which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Living accommodations aligned with facility function

Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 3 resident rooms had cameras facing the resident's bed and resident file did not have consent forms, updated Plan of Operations, or facility waiver for video surveillance in the private areas which poses an immediate health, safety or personal rights risk to persons in care.

Minimum appraisal documentation requirements

Based on record review, the licensee did not comply with the section cited above in 2 out of 3 residents did not have Appraisal/Needs and Services Plan on file and 1 out of 3 residents did not have Functional Capabilities Assessment on file which poses/posed a potential health, safety or personal rights risk to persons in care.