Ivy Park at Piner

87465(a)(4) Incidental Medical & Dental Care -The licensee shall assist residents with self-administered medications as needed, This requirement was not met as evidenced by: The resident's refill medication was not picked up in a timely manner, per investigation, record reviews, and interviews. This is a risk to resident's health & safety.

87465(a)A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: LPAs investigation, review of records, and interviews with staff, and other related parties. The resident (R3) received their medication in error from 8/1/23 through to 8/21/23. R3's Order had changed on 8/1/23, but the resident received three pills a day instead of the new dosage of one pill a day. This is a risk to residents health and safety. Second/repeat citation within twelve (12) months, a civil penalty (CP) is assessed in the amount of $250 today, see LIC421FC

87303 Maintenance and Operation. Facilities licensed for 16 or more... shall have a signal system which meets specified requirements.This requirement was not met as evidenced by: Based on investigation, file reviews, interviews, facility failed to ensure staff are responding to emergency call bell alarm(s) in a timely manner. LPA reviewed facilities emergency alarm pendant/call bell system event report, emergency alarm that was set off showed elapsed time in response which poses an immediate health & safety risk to resident(s) in care.

Reporting Requirements - each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This requirement was not met as evidenced by: Per record review, and staff interviews, an incident report on R1 was not completed correctly as it omitted that it was two(2) days, not one(1), of missed PM medications. This is a health and safety risk to resident(s) in care.

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: The investigation revealed that resident(R1) didn't receive medications as prescribed on 7/29 and 7/30; Per record reviews, and staff(S1 & S2) interviews, two medications were not provided to the resident as prescribed, due to the medications having not been refilled in time. This is a health and safety risk to resident(s) in care.