Masonic Guest Home Ii

Based on observation and record review, the licensee did not comply with the section cited above in that the resident files for R1 and R2 did not contain signed Personal Rights documentation 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 Staff member S1's file was observed to be missing current 1st Aid and CPR certification 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 emergency drills are not being completed quarterly 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 Staff member S1's file was observed to be missing the LIC 503 Medical assessment and Tuberculosis (TB) test 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 R1's file did not have a Pre-Placement Appraisal 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 R4 did not have annual reappraisals done for 2021, 2022 and 2023 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 R2 and R3 did not receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment have which poses/posed a potential health, safety or personal rights risk to persons in care.

87211(a)(D)Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirment was not met as evidenced by: during todays inspection, it was disclosed resident R1 walked out of the facility to a neighbor, was upset and yelling and asked they call the police. Facility failed to report to CCL and notify R1s physician. This is a potential risk to the health and safety of residents in care.