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32 | [CONTINUED FROM LIC 809]
There were no sharp objects, toxic chemicals/poisons, active fireplaces, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. Confidential records were stored in locked areas. No pools or bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detector, smoke detectors, emergency lighting, and facility telephone were all working. The facility’s fire extinguisher was serviced within the last twelve (12) months. A complete first aid kit was present and readily accessible. Required licensing postings were observed in visible areas of the facility. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance.
During records review, LPA observed, and staff interviews confirmed: Resident #1 (R1) had an as-needed (PRN) medication made available to them by their doctor. [See LIC811 Confidential Names List for a description of resident identifiers used in this report.] Staff had given R1 this PRN medication often, prior to LPA’s 07-10-2024 visit. However, the staff assisting R1 did not record in writing the date, time, dosage, and the resident’s response to doses of this PRN which were given to them, as was required. For R1, Resident #2 (R2), and Resident #3 (R3), Licensee had not prepared a written record of care (i.e., a “care plan”) describing the services the resident will receive in the facility and the resident’s preferences, which was required to be done within two (2) weeks of admission to the facility. Because these care plans did not exist for R1, R2, and R3, those residents’ respective responsible persons (RPs) also did not have the opportunity to meet with Licensee to review them (which was required to be done at least annually). The latest LIC603 Resident Appraisals which Licensee had conducted on R1, R2, and R3 were all more than one year old. (Regulation required these residents’ condition to be reappraised upon any change in condition, but also at least annually.) For R3, Licensee did not have a record of body weight measurement for them. For R1, it had been over seventeen (17) months since Licensee last obtained a body weight measurement for them. For R3, it had been over sixteen (16) months since Licensee last obtained a body weight measurement for them. (Regulation required Licensee to “regularly observe” residents for changes in physical condition, to include “unusual weight gains or losses.”)
[CONTINUED ON LIC 809-C, 2 of 2] |