Oak Tree Ranch

Based on LPA's/staff observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 2 staff did not have complete required additional treaining hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/staff observation, interview and record review, the licensee did not comply with the section cited above in 4 out of 4 resident's medications were not entered into the centrally stored medication log, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/staff observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 4 residents had medication expired on resident's medication box which poses a potential health and safety risk to persons in care.

Based on LPA's/staff observation, interview and record review, the licensee did not comply with the section cited above by having a monitor was being used to monitor resident's room, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/staff observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 4 residents care plans were not updated which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA/staff observation toilet located in bathroom #2 was not properly flushing. Also, upon entering to bathroom #3 located in the hallway, LPA/staff smelled a strong odor and it was apparently due to bathroom does not have adequate ventilation, the licensee did not comply with the section cited above in two bathrooms used by residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's/staff observation, interview and record review, the licensee did not comply with the section cited above in three out of three faucets used by residents, water measured at 101.3, 103.1 and 101.8 degrees F, which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Dpt may require…(1) A written report shall be submitted to the licensing agency & person responsible for the resident within 7 days of the occurrence of any of the events…(D) Any incident which threatens the welfare, safety or health of any resident...unexplained absence of any resident. This requirement has not been met as evidence by: Based on LPA’s records review and interviews conducted with Administrator confirmed that they did not ensure that CCL was notified of incident involving R1 after AWOL, which poses a potential health & safety risk to residents in care.

1569.618 Administration/management of RCFE: c) The facility shall employ, & the administrator shall schedule...: (3) Ensure that at least 1 staff member who has cardiopulmonary resuscitation (CPR) training & 1st first aid training is on duty/on the premises at all times....This requirement is not met as evidenced by: 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.