Green House East Rcfe

Based on observation and record review, the licensee did not comply with the section cited above in that Emergency Disaster Drills were only conducted on 1/3/2025 and 5/24/2025 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 one (1) of four (4) residents records (for resident R1) that were inspected was observed not to have an LIC 625 Appraisal/Needs and Service Plan 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 medications for the evening medication pass were left unsecured in a drawer in the kitchen 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 medication for R2 was observed to have an incorrect prescription number in the Medication Central Storage and Destruction Log 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 one (1) of four (4) residents records (for resident R3) that were inspected was observed not have an LIC 613C Personal Rights for RCFE 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 water temperature in sink accessible to residents in care measured at 98.7 degrees F which is not within the allowable range of 105 to 120 degrees F, 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 food items found to be expired were can of turkey gravy with best if used by date of July 2024, frozen cheese with best if used by date of July 2024 and peanut butter with best if used by date of December 2023, 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 cabinet in garage found to have rodent droppings. Backyard of facility was found to have debris, shovel head, a pair of garden sheers and overgrown dried weeds and plants, presenting a tripping hazard. Backyard fence on all sides in disrepair: exposed nails, loose and missing boards, boards covered in green film, and a back up generator that is blocking the exit path and partial portion of the gate. Across from the generator in the left hand corner of the front part of the fence is an area that has a constructed space that is now in disrepair: boards missing, boards stacked up and leaning against the area, boards have piece of metal and exposed nails and screws. Gates on both sides not easily functional: hard to open and push closed, joint bracket and screws loose on left hand side gate. Gate on right hand side of the facility cannot latch properly due to board with gate latch not secured and in disrepair, left hand back corner portion of fence is missing entirely, 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 cabinet containing cleaning supplies was not locked, bottle of drain cleaner found outside in backyard, cleaning supplies and laundry soaps in unlocked garage, not in a locked cabinet, 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 1 out of 1 fire extinguishers not being serviced within the last 12 months which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having overgrown ivy as well as other debris which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 residents not having updated reappraisals which poses a potential health, safety or personal rights risk to persons in care.