Mc Hugh Care Home

87405 Administrator - Qualifications and Duties (a)All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that the facility does not have a currently certified Administrator which poses an immediate health, safety or personal rights risk to persons in care

87405 Administrator - Qualifications and Duties (a)All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that the facility does not have a currently certified Administrator which poses an immediate health, safety or personal rights risk to persons in care

87555 General Food Service Requirements(b) The following food service requirements shall apply:(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with the section cited above in that rodents, rodent feces and a rodent trap were observed in the kitchen and kitchen pantry areas which poses 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 2 bubble packs of the medication Geodon 80mg for R1 was left unsecured in the hallway closet 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 staff member (S1) did not have current First Aid or CPR certification which poses 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 two (2) staff members (S1,S2) did not have proof of annual training on file which poses 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 in that the facility is not conducting fire and emergency drills per regulation with the last disaster drill having taken place in July, 2024 which poses 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 the fire extinguisher in the garage/laundry area was last certified on 6/6/2023 which poses 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 there was a badly broken window in bedroom seven (7). The window was observed to have been partially covered with cardboard and duct tape which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the sliding screen doors in bedroom one (1) and in bedroom four (4) were damaged which poses 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 Residents (R2,R4,R5) did not have current appraisal & needs service plans. For R2, R4 and R5 the last appraisal & needs service plan was dated 5/9/2023 which poses 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 Resident R3 did not have signed Personal Rights documents in their file which poses 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 there were two sauce containers that were opened and partially used in the kitchen pantry. Both sauces required refrigeration after opening which poses a potential health, safety or personal rights risk to persons in care.

87405 Administrator - Qualifications and Duties 87405 (a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on LPA's/Licensee observation, interviews and record review, the licensee did not comply with the section cited above in that Nick Aquino does not have a certified administrator from CCL, which poses a immediate health, safety or personal rights risk to persons in care.

87465(h)(2) Incidental Medical & Dental Care: (h) The following requirements shall apply...(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: Based on LPA's/staff observation and interviews conducted with staff, Licensee did not ensure medications to be kept locked and inaccessible to residents. This is an immediate health & safety risk to residents.

Based on LPA's/acting administrator observation, records review and interview, the licensee did not comply with the section cited above by not obtaining a valid administrator certification after informal meeting conducted on 6/28/23 with the Department or appointing an individual who had a valid administrator certificate, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's/acting administrator observation, interview and record review, the licensee did not comply with the section cited above in three out of five residents (R1, R2 & R3) needs an updated care plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/acting administraor observation and interviews, the licensee did not comply with the section cited above in resident's rooms (room #3 & room #2) and common areas spider webs were observed, Two out of three bathrooms were observed dirty and needing minor repairs on walls. Window screen on room #3 needs to be replaced. All garbage cans do need to have a lid cover. which poses an immediate health, safety or personal rights risk to persons in care.

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by a knife being accessible to a resident in care who was able to store item and eventually physically threaten a staff with it. This is an immediate risk to the health, safety and personal rights of residents in care.

Based on record review, the licensee did not comply with the section cited above by not having proof that Administrator has an active Administrator Certificate which poses 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 in 9 out of 10 residents not having an updated reappraisal which poses 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 by not locking the medication cart when left unsupervised, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having the evening medications already poured and being stored in a separate container, which poses 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 by not maintaining a Centrally Stored Medication Log 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 by having food not labeled and stored per regulation including but not limited to food being stored in foil and not completely covered, which poses 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 by a refrigerator that stores perishable foods appeared dirty and unsanitary which poses 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 not having all perishable food being of good quality which poses 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 because areas of the facility were visibly dirty, smelled of urine along with debris being stored in the backyard which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 2 out of 2 staff not having proof of a First Aid and CPR Certificate, which 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 in 1 out of 10 residents not having a signed Admission Agreement which poses 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 by having the water in temperature in the resident's bathroom being above the range allowed per regulation which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 2 out of 2 staff not having staff files available at this facility, which poses/posed a potential health, safety or personal rights risk to persons in care.