Pruneridge Residential Care Home, Facility #2

Update reappraisal at required intervals

87463 Reappraisals (a) The pre-admission appraisal shall be updated...The reappraisals shall document changes in the resident's physical, medical, mental, and social condition.This requirement was not met as evidenced by: Based on record review, 2 out of 2 resident files (R1-R2) did not contain Appraisal/Needs and Services Plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Prohibit false or misleading facility statements

87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement is not met as evidenced by: Based on record review, interview and observation, R1-R2 e MARs noted medications administered but LS stated R1 requested for PRN medication and R2 refused medication, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Required administrator qualifications listed in this subsection

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.This requirement is not met ad evidenced by: Based on interview, record review and observation, ADM did not adequate provide attention to the management & administration of the facility by conforming to the applicable laws, rules and regulations which poses/posed an immediate Health, Safety, or Personal Rights

Facility personnel sufficiency and competence

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 is not met as evidenced by: Based on record review, interview and observation R1's 1 out of 3 meds not administered to R1 as prescribed by the MD and R2's 4 out of 4 meds were not administered to R2 as prescribed by the MD which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

First aid training requirements

87411 Personnel Requirements - General (c)(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement was not met as evidenced by: Based on record review and interview, S1's file did not contain first aid training on 5/2/2024 and S1 provides direct care to residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain required personnel records for staff

87412 Personnel Records (a)The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement was not met as evidenced by: Based on record review and interview, S2's file did not contain TB test results with the health screening and on 5/2/2024 staff file was incomplete at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

87465 Incidental Medical and Dental Care (h) (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement was not met as evidenced by: Based on recored review, observation and interview,LPA Rai osberved a medication bottle containing two different types of medication different than the one on the bottle label which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Record centrally stored prescriptions and refill data

87465 Incidental Medical and Dental Care (h)(6)The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes.This requirement is not met as evidenced by: Based on interview and record review, R2's Centrally Stored Medication Record is not accurate as stated by Lead Staff (LS). LS stated R2's medication was started on 4/10/2024, when the log states 4/9/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Must complete individual written admission agreements

87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any.This requirement is not met as evidenced by: Based on interview and record review, R2's file did contain an Admission Agreement but it was not for the current facility where R2 resides which poses/posed a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (b)If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication...This requirement is not met as evidenced by: Based on record review, R2's physician has not stated in writing that the resident is able to determine and communicate his/her need for PRN medication which poses/posed a potential health, safety or personal rights risk to persons in care.

87608 Postural Supports (a)(5)(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.This requirement is not met as evidenced by: Based on record review, 1 ouf of 2 resident files (R2) did not contain a physician's order to use half-bed rail for mobility and R2 is not receiving hospice services which poses/posed a potential health, safety or personal rights risk to persons in care.