Incident investigation·August 17, 2023

Citations

4 citations recorded^*CCLD

• 1569.625(b)(2)Type B

  Based on record review, the licensee did not comply with the section cited above in three out of five staff did were missing four hours of trainning specific to postural supports, restricted health conditions and hospice carere which poses a potential health and safety risk to persons in care.

• 87412(a)(12)Type B

  Include hazardous health condition records

  Based on record review, the licensee did not comply with the section cited above in one staff (S1) out of five staff as S1 does not have a health screening on their file with their tuberculosis (TB) information which poses a potential health and safety risk to persons in care.

• 87465(a)(4)Type A

  Assist residents with self-administered medication

  Based on interview and record review, the licensee did not comply with the section cited above as R3’s Risperidone medication was counted in front of the LPA and was observed to have three more pills than needed,in addition on the MAR, medication for August 14, 2023 was unaccounted for, and medication information was missing on the CSDMR for R1, R2 and R3, which poses an immediate health and safety risk to persons in care.

• 87506(b)Type B

  Resident record must include minimum required items

  Based on record review, the licensee did not comply with the section cited above as Resident #1’s (R1’s) file was observed to be missing their functional capability assessment, R2’s file was observed to be missing a preplacement appraisal, and R3 and R4’s file was observed to be missing their personal rights (LIC613) which poses/posed a potential health, safety or personal rights risk to persons in care.