Anita's Care Villa

Based on observation and record review, the licensee did not comply with the section cited above in 1 resident (Resident #1 - R1) is using full bed rails, is not on hospice and does not have a valid exception on file which poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as smoke detector was removed from room #3 and hallway lightswitch plate was observed to be broken, which poses a potential safety risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above as Resident #2 (R2) had Advil in their room in their drawer and R2's physician's report indicates the resident cannot store their own medications and in addition, R2's room remains unlocked rendering R2's Advil accessible to all residents, which poses an immediate health and safety risk to persons in care.

Based on obsevation, the licensee did not comply with the section cited above as the first aid kit was not complete and missing twezzers, thermometer, first aid manual 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 centrally stored medication cabinet was observed to be unlocked in the kitchen, prescription mouthwash was observed in hallway bathroom and prescription and over the counter medications were observed unloced in Residetn #4 room 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 3 out of 5 residents did not have signed resident rights, signed consent forms and 1 out of 5 residents did not have a needs and services plan which poses an immediate personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as there were expired foods and foods exposed to freezer burn found in the refrigerator 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 the single latch exit door on the side of the house was not even an not allowing for it to close or open properly. Storage shack door was in disrepair leaving accessible items exposed such as gardening supplies and chemicals 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 cleaning supplies were found accessible throughout the facility, which poses an immediate health and safety risk to persons in care.

87464(d) Basic Services. A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457…This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as the facility did not ensure that R1’s care needs were met, which poses an immediate health and safety risk to residents in care.

87615(a)(1) Prohibited Health Conditions. (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained...: (1) Stage 3 and 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 admitted and retained R1 in the facility with a prohibited health condition, which poses an immediate health and safety risk to residents in care.

Based on LPAs observation, the licensee did not comply with the section cited above as two (2) out of two (2) facility restroom faucets delivers hot water measured at 104 and 96.8 degrees Fahrenheit, which poses an immediate health and safety risk to persons in care.

87468.2(19) Additional Personal Rights of Residents in Privately Operated Facilities. (19)To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days...This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not meet the section cited above as they failed to produce records requested by POA’s Representative, which poses a potential risk to the personal rights of residents in care.