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25 | Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 10:00AM to conduct a non-compliance inspection. LPA followed up on the following areas which were initially addressed during a non-compliance meeting dated 07/21/2021. LPA met with Executive Director, Ric Pielstick.
Medications: Facility had residents with unlocked medications in their possession who were not allowed to store and/or dispense medications according to physician's reports on file. During tour of Assisted Living tour, LPAs observed an unlocked cabinet in R1s apartment, which contained PRN medications. LPAs confirmed that R1 was allowed to dispense their own medications per their physicians report.
Prohibited Conditions: Facility retained a resident with a prohibited condition. 10 of 10 files reviewed did not have evidence of any residents being retained with a prohibited condition.
Timely Medical Attention: Facility failed to seek timely medical attention.
LPA reviewed incident reports and confirmed that facility has been seeking timely medical attention.
Medical Assessments: Facility failed to ensure that resident's medical assessments/physician's report is complete as required. LPAs reviewed 10 resident files that had all required documents.
Resident Records: Facility wasn't able to provide CCLD with pre-appraisals for resident's files that were reviewed. LPAs reviewed 10 resident files that had all required documents.
Continued on LIC809C |