A Bradley House Ii

Based on record review, the licensee did not comply with the section cited above as the licensee currently has three (3) residents that are receiving hospice services which poses an immediate safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as two residents did not have a currnet and signed needs and service plan on file which poses a potential health risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as their administrator certificate expired in 2023 which poses an immediate personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above as they have full bed rails and they are not receiving hospice services which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as Room #1 is occupied by Resident #1 which poses an immediate safety risk to persons in care.

Based on records review and LPA observation, the licensee did not comply with the section cited above as the Administrator's file was not available during the inspection, which poses a potential health, safety or personal rights risk to persons in care.

Based on records review and LPA observation, the licensee did not comply with the section cited above as five (5) out of six (6) residents admissions agreement were missing the Administrator's signature and date, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview with staff, the licensee did not comply with the section cited above as a section of the common living area was used as a staff sleeping area which poses/posed 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. Sliding door in living/dining area observed not opening and closing properly; much force is needed to open and close door; also sliding door handle from inside is not in good repair and the outside handle is broken. This poses safety risk to persons in care.

Based on observation the licensee did not comply with the section cited above as two (2) staff upon arrival who were providng care and supervision to residents were observed without a face mask which poses an immediate health and safety risk topersons in care.

Based on interview and records review, the licensee failed to inform Licensing about the changes within the facility layout, which poses a potential health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above, as S1 has not been associated to the facility, which poses an immediate health and safety risk to residents in care..

Based on observation, the licensee failed to ensure that kitchen knives were inaccessible. During the physical plant tour, the LPA observed an unsecured drawer in the kitchen containing knives. This poses an immediate health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above, as cleaning supplies and over the counter medications were accessible through the unlcoked garage 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 expired canned food was observed in the dining room pantry and expired cooking spices were observed on the kitchen counter, which poses a potential health and safety risk to persons in care.