Bella Vista Village Ii, Llc

Based on LPA anbd Admin observation and record review, the licensee did not comply with the section cited above in that S1 did not have a Health Screen on file, which poses a potential health, safety or personal rights risk to persons in care.

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met by licensee as evidenced by:Based on LPA observation and record review, staff not present or not present in sufficient in numbers in Main House, based on the care needs indicated by the residents’ respective appraisals, physician’s reports, and the current staff roster and schedule, it appears that the facility does not have enough staff to meet the various possible care needs of residents at any one given time, which poses an potential health, safety or personal rights risk to persons in care.

87555 General Food Service Requirements (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met by licensee as evidenced by: Based on LPA interviews and record review, four [4] out of five [5] staff did not correctly identify all respective residents’ dietary restrictions and/or special dietary needs, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin record review, the licensee did not comply with the section cited above in that per Guardian, S6 fingerprint application was received 3/29/2023 and closed for incomplete application on 6/27/2023, which poses an immediate 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 were found to be uncovered in the refrigerator such as watermelon, grains and cereals in canisters without dates of filling/opening, and canned and boxed goods found with expired best if used by dates: various brands of peanut butter with best if used by dates of 8/28/2023,12/7/2023, 5/15/2024, and 1/16/2024; canned mini raviolis with best if used by date of 6/5/2023; box of Rice a Roni with best is used by date of 2/14/2024; can of Manwich with best if used by date of 11/22/2023, 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 PA and Admin observed bedroom #1 in Memory Care main house found to have strong urine smell, per Admin the urine smell is from the mattress. Shared room in cottage #2 had a bed that smelled strongly of urine, 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 has a diagnosis of dementia but their most recent physician's report is dated 5/10/2023 and their appraisal is also dated 5/10/2023, 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 three [3] out five [5] residents R1, R2, and R3 did not have a current appraisal, 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 five [5] out of [6] staff, S1, S2, S3, S5, and S6 did not have current annual training completed, 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 bedroom #4 in Memory Care main house had broken wall outlet cracked and missing the right side portion of face plate and internal box visible. Half bath in Memory Care main house did not have working fan or lights, switches did not work, which poses a potential health, safety or personal rights risk to persons in care.