EVA-MARIE RESIDENTIAL CARE HOME II

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Violation of this regulation is evidence by: Based on observations, facility staff failed to wear a face covering when providing care and supervision to residents. In addition, Administrator was unable to provide LPA screening log documentation for residents and staff.

Official plan of correction

Civil penalty of $250.00 is assessed for repeat violation within the last 12 months.

Deadline recorded: Sep 28, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87705 Care of Persons with Dementia: (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. Violation of this regulation is evidenced by: Based on observations door alarms in bedroom #3 and bedroom #4 are not in good working condition. In addition, based on file reviewed, residents in bedroom #4 both have dementia and one out of two residents in bedroom #3 has dementia. This poses an immediate health and safety risk to residents in care.

Deadline recorded: Sep 28, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). Violation of this regulation is not met as evidence by: Based on observations, LPA observed drawer with sharps to be unlocked and accesible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Deadline recorded: Sep 28, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

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. Violation of this regulation is evidenced by: Based on observation, facility failed to ensure that medications were locked and stored appropriately and inaccesible to residents which poses an immediate health and safety risk to residents in care

Deadline recorded: Sep 28, 2022. 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

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. The facility failed to provide documentation for the daily residents and staff members screening log; the facility failed to provide documentation for the visitor's screening log.

Official plan of correction

POC Due Date: 10/14/2021 Plan of Correction The Administrator and/or designee will review the Department's Provider Information Notices (PINs) regarding the daily COVID-19 screening process for visitors, residents and staff members and start documenting the results of the screening outcomes on a log to indicate that it was done. The Administrator will in-service staff members on this procedure and the Administrator will provide a copy of the sign-in sheet and the required logs to the Department by 10/14/2021.