Green Acres Manor

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care...shall deliver hot water...of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). Based on LPA observation, the licensee did not comply with the section cited above in that water temperatures in sinks accessible to residents in care measured at 103.1 degrees F in room #9/#10, 125.6 degrees F in room #2 but measured at 98.5 degrees F in shower faucet in long hall bathroom next to kitchen, and 103.4 in smaller long hall bathroom, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation, the licensee did not comply with the section cited above in that kitchen does not have operational ventilation, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that laundry room in long hall has cabinet that stores cleaning solutions and toxins; however, cabinet framing is heavily worn down such that the locking feature does not always securely lock, leaving toxins accessible to residents, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation, the licensee did not comply with the section cited above in that kitchen range/stove has a broken oven door and burners which are not operating properly. Also, carpet at entrance to the long hall is heavily soiled and has a wearing hole that presents as a tripping hazard, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that water temperatures in sinks accessible to residents in care measured at 128.4 degrees F in room #12 and 124.7 degrees F in room #15 but measured at 94.3 degrees F in jack and jill style bath in room #9/#10 and 87.8 degrees F in main bathroom next to kitchen, which poses a potential health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times.This requirement was not met by licensee as evidenced by: Based on LPA observation ants present in resident room in facility, which poses a potential health, safety, and personal rights risk to residents in care.

Based on LPA and Admin observation, the licensee did not comply with the section cited above in that S2, S3, and S5 did not have current annual training on file which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that R1 in room #10 did not have bed present. R1's pre-appraisal, care plan, and physician's report did not note a preference or an approval for not having a bed which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S4 did not have proof of TB clearance on Health Screen or in file. which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA, caregiver, and Admin observation, the licensee did not comply with the section cited above in that pantry had tomatoes stored in bin that had black spots, white film, and bluish greenish fuzzy film surrounded by white substance, storage bin containing canned goods had sticky brown film and brown substance with orange film and spots on some cans, open ziploc of lentils, lentils spilling out into bin, macaroni and cheese box with best when used by date of 3/20/2023 which posed a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above inthat S1, S2, and S3 do not have current 1st Aid/CPR certifications on file which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA, caregiver, and Admin observation, the licensee did not comply with the section cited above in that kitchen had block of knives open and accessible when half door to kitchen is left open. LPA observed on three occasions during inspection that half door to kitchen was left unlocked, making knives accessible to residents in care which poses a potential health, safety or personal rights risk to persons in care.

Based on observation/file review, the licensee did not comply with the section cited above in 3 out of 4 staff members not having an Active First Aid/CPR Card. which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation/record review, the licensee did not comply with the section cited above in 2 out of 7 residents did not have the medication on record 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 laundry rooms were left unlocked and toxins were accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.