Kenwood Greens

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that per LPA and Admin review of Guardian roster, staff (S1) does not yet have fingerprint clearance, it is showing as "In Process" per the Guardian roster. S1 has been employed at at facility beginning 8/23/2022. which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA observation and Admin interview along with LPA and Admin record review, the licensee did not comply with the section cited above in that per LPA observation and Admin interview, facility’s quarterly disaster drills are performed with staff individually; however, the facility has not conducted a disaster drill for every employee within the past quarter. which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation and Admin interview, the licensee did not comply with the section cited above in that four [4] out of seven [7] residents (R3, R4, R6, and R7) did not have current Appraisals.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 LPA and Admin observed pre-poured medications filled in respective residents' pill boxes for the next day and evening, which poses a potential health, safety or personal rights risk to persons in care.

87465(a)(1) INCIDENTAL MEDICAL AND DENTAL CARE. The Licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of the residents. ***Based upon statements and document reviews, this requirement has not been met as evidenced by: R1, malnourished and in frail condition, presented with a sore on 7/12/2022 which prompted the Administrator to request nursing or Hospice care for R1 on 7/13/2022 which did not occur. R1 was not sent out for medical treatment until 7/20/2022 when diagnosed with stage ll and unstageable pressure injuries. * This posed an immediate risk to the health of R1.

87309(a) STORAGE SPACE. 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. Based upon observations, this requirement has not been met as evidenced by: During the course of complaint investigation, LPA observed laundry room containing window cleaner, detergent, and cleanser on counter and in unlocked cabinet while six residents were present in facility. This posed an immediate risk to their safety.