SAVANT OF NORWALK

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465(a) (4) Incidental Medical and Dental 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 is not met evidence by. This pose an immediate health, safety, and risk to persons in care. Based on interviews conducted by LPA Reyes (6) of (8) staff confirmed they have observed medication in various areas of the facility on the floor and counters, including the hallways, resident rooms, and the dining room. The staff have stated they have either witnessed medication pills left unattended or had been informed by staff of such incidents.

Official plan of correction

Administrator will ensure staff assist residents with self- administered medication as needed by verifying medication is taken by resident before assisting another resident. The administrator will conduct in-service training, provide course materials, and attendance sheets with staff signatures to licensee by POC Due Date.

Deadline recorded: Oct 18, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met evidence by: Based on interviews conducted and observations by LPA Reyes, (6) of (8) staff confirmed they have observed medication in various areas of the facility on the floor and counters, including the hallways, resident rooms, and the dining room. Additionally, during the visit on (insert date) LPA Reyes observed medication cart being left unlocked, unattended, and accessible to all residents in the dining room. S8 admitted to LPA Reyes of leaving the med cart in dining room unlocked. This poses an immediate health, safety, and risk to persons in care.

Official plan of correction

Administrator will ensure centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. The administrator will conduct in-service training, provide course materials, and attendance sheets with staff signatures to licensee by POC Due Date.

Deadline recorded: Oct 18, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465Incidental Medical Care(h) The following requirements shall apply to medications which are centrally stored(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible .... Based on observations LPA Reyes toured the dinning room and observed at 12:09 PM Staff #8 (S8) had left the med cart unattended and unlocked for few minutes while outside in the court yard administering resident's medication.This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will provide LPA Reyes with the following documents in-service training for all staff on medication. Administrator will provide within 24hrs the date for the planned traininig staff and the training materials.

Deadline recorded: Aug 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87208(a)

Regulation authority

CCR

What the official deficiency says

Plan of Operation (a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. This requirement is not met as evidenced by.There is one staff at the facility in charge to handle any financial matters (S2). No other staff is permitted to get any personal information from the residents. In same cases S3 was provided personal information by residents.

Official plan of correction

Administrator shal review section 87208 and will send LPA a written letter stating that the section has been reviewed and is understood, by POC due date.

Deadline recorded: Dec 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: The facility failed to keep the residents from smoking in the undesignated areas which is in front of the facility which poses a health and safety issues for clients in care.

Official plan of correction

The administrator shall ensure that all residents are adhering to the non smoking signs. Complete an inservice training with you and your staff on ways to ensure the resident are adhering to non smoking signs. Send proof of service to LPA Nicol Wesley by POC date 12/05/23.

Deadline recorded: Dec 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303) a Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Room 19A sliding door was in disrepair and did not close properly until today 6/12/2023 and screen door in room 19A does not close properly and requires repair and replacement as it posed/poses a health and safety issue to persons in care.

Official plan of correction

Administrator will have screen door rails repaired or replaced by POC date and send proof to LPA by POC date.

Deadline recorded: Jul 12, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Room #33 water in the tub measured 90 degrees F and water in room 11 tub measured 123.5 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2022 Plan of Correction Administrator adjusted water temperature during visit and will continue to monitor water temperature to make sure it is within regulatory range. ****No further action is required****

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Room 13 towel rack was in need of repair as it was off the wall which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/13/2022 Plan of Correction Administrator will repair towel rack and send proof of correction to LPA by POC date. ****Towel rack was repaired during visit and not further action is required****

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. One door screen was in need of repair which poses a potential health, safety or personal rights risk to persons in care

Official plan of correction

POC Due Date: 12/13/2022 Plan of Correction Administrator will repair torn screen and send LPA proof by POC date. *****Screen was repaired during visit and not further action is required****

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not med at evidence by: During todays visit, LPA observerd that the facility does not have their business name on the building, markee, or attached to anyplace on the building. This deficiency was previously cited on 06/18/21 which poses a health and safety risk to the residents in care.

Official plan of correction

The Licensee/Administrator will have a permanent sign attached to the building/markee to identify the facility name by POC date 05/27/2022. In the event of a back order, the facility will show proof of purchase for the order of a permanent sign and will place a temporary banner identifying the facility business name on the building until the permanent sign has been installed on the building/markee by POC date 05/272022.

Deadline recorded: May 27, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not med at evidence by: During todays visit, LPA observerd that the facility does not have their business name on the building, markee, or attached to anyplace on the building. This deficiency was previously cited on 06/25/21 which poses a health and safety risk to the residents in care.

Official plan of correction

The Licensee/Administrator will have a permanent sign attached to the building/markee to identify the facility name by POC date 05/272021. In the event of a back order, the facility will show proof of purchase for the order of a permanent sign and place a temporary banner on the building until the permanent sign has been ordered by POC date 05/272021.

Deadline recorded: May 27, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. During todays visit, LPA Wesley observed all the facility windows on the 1st and 2nd level, all of the sliding glass exit doors in all of the residents rooms and the emergency exit doors by rooms 19 and 20, the TV room on the southwest side of the facility near Firestone Blvd near the residents rooms were covered in masking and tape which prohibits exiting and entering. This poses a health and safety isssue for the residents in care.

Official plan of correction

The facility Licensee will review the regulations and avoid obstructing the windows and exit doors while the residents are in care which can pose a health and safety issue. ** Corrected at the time of visit** Licensee Adam Zenou had all of the taping, masking and plastic coverings removed from all of the residents sliding glass doors, exit doors, and emergency exit doors at the time of visit.

Deadline recorded: Mar 24, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87459(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87459 Functional Capabilities (a)The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living (1)Bathing including need for assistnace (B) In bathing one or more parts of the body The requirement is not met as evidenced by Based on interviews by residents and reported their showering needs were not met due to staff would get mad when they take too long or staff only watched them without providing any assistance.

Official plan of correction

The administrator will ensure the residents's showering needs are being met by reassessing them and determine their ability. The administrator will send LPA a letter and how to ensure the residents' showering needs are able to meet in the facility.

Deadline recorded: Jan 18, 2022. A deadline is not proof that correction was completed.