The Highlands Care Home Iii

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents did not have a current appraisal which 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 in that at least one internet access device was dedicated and available for client use, 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 that one (1) staff member (S2) was observed to have a medical assessment and Tuberculosis test that was dated prior to six (6) months before employment] which poses an immediate 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 that four (4) of four (4) staff files for S1, S2, S3, S4 were observed to lack proper training documentation which poses/posed a potential health, safety or personal rights risk to persons in care.

87412(c) Personnel Records (c) Licensees shall maintain in the personnel records verification of required staff training and orientation.This requirement was not met. As evidenced by: during review of medication, LPA discovered staff did not have proof of required training. This is a potential risk to the health and Safety of residents in care.

87465(a)(4) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met, As evidenced by: Based on medication count for R1, some medication bottles had too much medication left or were missing medication. This is an immediate risk to the Health & Safety of residents in care.

Based on observation, the licensee did not comply with the section cited above because LPA observed a near empty refridgerator and freezer, and the nonperishable food supply will not sustain three meals a day for seven days, which poses an immediate 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 because there are locks on the freezer and refridgerator which LPA was told are locked at night. The locks are not locked during the day, 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 because LPA observed one resident (R1) leave the facility and when LPA reviewed the physician's report the physician's report stated the resident may not leave unassisted, which poses an immediate health, safety or personal rights risk to persons in care.