Caring Hands Residential Living Ii

Based on interview and record review, the licensee did not comply with the section cited above. LPA requested to review Staff S2's LIC501, LIC503 and documentation of training. LPA was not provided the following but not limited to documents regarding S2 to review/inspect : LIC501, Staff training records, LIC503. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and records reviewed, the licensee did not comply with the section cited above. Resident R1 and R2's Centrally stored medication Record forms only has medications with start dates from the year 2024. LPA asked S1 for the most current forms for R1 and R2. S1 stated they only fill out the centrally stored medication records once a year. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and records reviewed, the licensee did not comply with the section cited above. LPA toured resident bedroom #5. LPA observed on the cabinet next to R1's bed contained a medication. LPA reviewed R1's Physician's Report dated April 22, 2021, states R1 cannot administer and/or store his/her own medications. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and records reviewed, the licensee did not comply with the section cited above. R1's Physician's report is dated April 22, 2021. LPA requested to review documentation demonstrating the Administrator requested an updated physician's report from the resident and/or the residents representative. The Administrator also did not provide any documentation showing that R1 or R1's representative had reused to receive annual assessment for an updated physician's report. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above. LPA observed a missing door frame in bedroom #4. Bedroom #2 was observed to have a hole in the wall. Bathroom #2's door frame is damaged. LPA observed numerous leaves and fruit scattered in the backyard, on the ground. LPA observed bedroom 5 was missing is sliding screen. This poses/posed a potential health, safety or personal rights risk to persons in care.

87307 Personal Accommodations and Services(d) (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement was not met as evidenced by: Based on observation, facility's kitchen, sliding screen door has a stick preventing the door from opening. LPA observed the door in the living room had a Tuut door lever lock creating an obstruction to opening that door. This poses an immediate 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. R1,R2 & R4's Centrally stored medication log was not filled out. S1 stated they have not filled out their centrally stored medication record. R3's centrally stored medication record had several medications that were not listed and had incorrect information, such as the incorrect prescribing physician. This 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. Facility staff was unable to produce a copy of an updated physicians report for R3 or documentation showing the administrator contacted the residents responsible party to get an updated physicians report. This 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. LPA requested to review staff S1's training for 2024. S1 stated she did not complete any training for 2024. This 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. The facility conducted drills for the year 2024, for the following dates; August 30, 2024, May 31, 2024, and February 18, 2024. Staff was unable to produce documentation a drill had taken place in the 4th quarter of 2024. This poses/posed 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. LPA observed detergents inside the garage accessible to residents in care. LPA observed the storage shed in the backyard, contained a container of gasoline, which was accessible to residents in care. The door on the shed, does not have a locking mechanism. This poses an immediate 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. LPA requested to review R4's physicians report. S1 stated the facility is still working on filling out that form. S1 stated R4 has not had a medical assessment yet. This 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. R1 needs and Services plan form is blank. S1 stated R4's Needs and services plan has not been filled out. S1 stated the facility was in the process of filling out R1's ANS. Facility staff was unable to provided an updated copy of R3's Needs and services plan. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above. LPA requested 3 staff files. S1 only provided 1 and stated there were no other files. S1 contacted ADM, and informed LPA the other staff documents were at another facility. This 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. Based on facility records the last drill conducted was on August 23, 2023. This poses/posed 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. LPA observed The shower in the private bathroom, for resident bedroom #2 does not have an attached shower curtain. LPA observed an indentation in the hallway opening to bedroom 4 & 5. LPA also observed the living room closet, and the doors hinges on the top were not attached. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's observations, the licensee did not comply with the section cited above. LPA observed bedroom #4 does not have a sliding screen for the door facing the patio. LPA observed bedroom #3's window screen was not attached and had an opening. LPA observed bedroom #2's sliding screen door was missing as well. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's observation, the licensee did not comply with the section cited above. LPA observed the private bathroom for Resident bedroom #2 does not have a non-skid mat which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, R1's Needs and services plan, dated April 23, 2021, the form is blank under socialization, emotional, mental, physical, functioning needs. A review of R1's physician report, dated April 22, 2021, states R1 is non ambulatory, and "needs assistance while in bed, as needed during the day while up." This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's observation, the licensee did not comply with the section cited above. While reviewing R1's medication's, LPA observed over 2 dozen medications, not secured in their container. This poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. While reviewing R2's file, LPA observed R2's physicians report (PR), dated, 9/9/20. The PR states R2 has a neurocognitive disorder. LPA observed R3's PR, dated 11/29/22. R3's PR states R3 has a neurocognitive disorder. R3's Needs and services plan is dated 12/23/22. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's observation, the licensee did not comply with the section cited above. LPA observed a bottle of Lysol all purpose cleaner in the private bathroom, in resident bedroom #2. While touring the backyard of the facility, LPA observed a can of "Henry-Wet patch, roof leak repair", directly outside Room #3's window. This poses/posed a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities (a)(2) Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by: On 11/11/2021, R1, who is demented left the facility unassisted and was found by law enforcement unattended which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Based on observation and records reivew, the licensee did not comply with the section cited above, as 4 out of 4 files were observed as incomplete and administrator was not able to provide up to date copies in a timely manner which poses an immediate health, safety or personal rights risk to persons in care.

87465(h)(2) - Incidental Medical and Dental Care - ...(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: LPA observed resident medication visible and accesible in resident room. This poses a potential risk to the health and safety of residents in care.

87468.1 - 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... (3) To be free from... other actions of a punitive nature, such as... interfering with daily living functions such as eating. This requirement was not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due to refrigeration unit possessing a lock which poses a potential health, safety or personal rights risk to persons in care.