Keene Kare Iii

Based on observation, the licensee did not comply with the section cited above. located between 2 residents bedroom, LPA noted, oxygen was being used. ADM confirmed the resident that was residing in that bedroom does use oxygen. LPA noted that the door to the bedroom does not have a, "oxygen in use, no smoking." This poses/posed a potential health, safety or personal rights risk to persons in care.

Perform a pre-admission resident appraisal

Based on interview, the licensee did not comply with the section cited above. Licensee stated she did not preform a pre admission appraisal for R3. This poses/posed a potential health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on interview and record review, the licensee did not comply with the section cited above. Resident R2's Needs and services plan is dated August 10, 2024, is blank. Resident R3's Needs and Services Plan is blank. This poses/posed a potential health, safety or personal rights risk to persons in care.

Record centrally stored prescriptions and refill data

Based on interview and record review, the licensee did not comply with the section cited above. Resident R1's centrally stored medication record did not have 5 of R1's medications listed. Resident R4 did not have 2 medications that were not listed in his/her centrally stored medication record. Resident R3 did not have his/her medications listed on his/her centrally stored medication record. This poses 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. Licensee stated she and the Administrator have not conducted quarterly drills. This poses/posed a potential health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on record review, the licensee did not comply with the section cited above. Facility Administrator is not associated with the facility. which poses/posed a potential health, safety or personal rights risk to persons in care.

Allow licensing inspection and controlled record removal

Based on interview, the licensee did not comply with the section cited above. Licensee stated she did not have staff files available for LPA to review. which 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 in that there was no flash lights in the facility during the inspection which poses/posed a potential safety risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in that cabinet of knives and dish watching chemical was observed unlocked which poses/posed a potential health, safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that one caregiver did not have a valid first aid certificate during LPA's file review which poses/posed a potential health, safety risk to persons in care.