Hillcrest Royale

Based on observation the licensee did not comply with the section cited above as LPA did not observe an evacuation chair at each stairwell, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in (7) out of (8) files reviewed did not have a valid first aid certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as 7 staff (S1,S2,S3,S4, S5, S6, S7) were not associated to the facility which poses an immediate health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as 1 morning pill for R1 of DIGOXIN was found to be unadministered for 8/1/2023, which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as moldy lettuce, moldy tomatoes and expired prune juice was discivered which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as taps throughout the facility were found to be delivering hot water up to 125.4 degrees F which poses a potential health and safety risk to persons in care.

Based on observation the licensee did not comply with the section cited above as the ceiling in bedroom 204 was observed to have water damage which poses an immediate health and safety risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above as four (4) staff were observed not wearing masks/face coverings in common areas, which poses an immediate health, safety, and personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above as the Level 2 resident's restroom faucets deliver hot water measured at 100 and 104 degrees Fahrenheit, which poses an immediate health and safety risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above as the lock to the medication room did not lock, which poses an immediate health and safety risk to persons in care.

87211(a)(1)(D) Reporting Requirements. Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (D) Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as the licensee did not submit a report when R1 went to the ER on 3/16/2021, which poses a potential health and safety risk to residents in care.

87615(a)(1) Prohibited Health Conditions. Persons who require health services for or have a health condition ... shall not be admitted or retained in a residential care facility for the elderly: Stage 3 or 4 pressure injuries.This requirement is not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as they retained R1 in the facility with a prohibited health condition, which poses an immediate health and safety risk to residents in care.