A Caring Heart LLC

A revisit survey was completed on 3/10/25 for all previous deficiencies cited on 10/30/24. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A revisit survey was completed on 3/10/25 for all previous deficiencies cited on 10/30/24. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A licensure survey was completed on 10/30/24. Deficiencies were cited. The regulations governing Assisted Living Residences were revised and the new regulations were implemented on 1/1/24. Based on interviews and record review, the residence failed to, on a quarterly basis, audit the accuracy and completeness of medication administration records (MARs), affecting seven current residents. Findings include:1. Record reviewOn 10/29/24 at approximately 8:30 a.m., quarterly medication audits were requested from the house manager.On 10/29/24 at approximately 10:07 a.m., quarterly audits were provided from the previous two months. However, the medication audits were not completed by the administrator and the qualified medication administration (QMAP) supervisor, they were completed by the administrator designee on 6/28/24 only.The medication audits were not completed by the administrator and the QMAP supervisor, they were completed by the QMAP supervisor on the following dates: 7/24/24, 8/10/24, 9/15/24, and 10/25/24.2. InterviewsOn 10/30/24 at approximately 11:55 a.m., the administrator designee stated that she was aware that the administrator and QMAP supervisor were required to c.. Based on observation and interview, the residence failed to keep the exterior grounds free of garbage and rubbish, affecting seven current residents. Findings include: 1. ObservationsOn 10/29/24 at 8:38 a.m., an environmental tour of the external grounds revealed the following:The external grounds on the front entrance of the home had a folding table and a broken dishwasher to the right of the front door. To the left of the front door was a ramp for wheelchair access and it was blocked off by five small orange cones.The right side yard had a wooden fence with a sign that stated "Restricted Area Do Not Enter Stop Employees Only." The wooden fence was only on the front side and the side was not fenced in. Located behind the half fence were broken construction materials, debris from trees and foliage, multiple blue tarps with additional pieces of broken wood, and a broken bicycle that was upside down. To the right of the fenced area was a shed being dismantled with four sides still partially up and other pieces down on the ground. .. Based on observation and interview, the residence failed to make available, either directly or indirectly through a resident agreement, a physically safe and sanitary environment including, but not limited to measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population, affecting seven current residents.Findings include:1. Residence PolicyThe residence' s undated resident agreement read in part: "You will be provided with the opportunity to use the general purpose rooms of Provider, such as family rooms, living rooms, dining rooms, shared bathrooms."2. Observationsa. Lower LevelOn 10/29/24 at approximately 9:29 a.m., in the lower level of the residence, there were four resident rooms, as well as a basement den. The den was filled with renovation tools and materials which was a shared living space for all residents. The sliding glass door that led out to the backyard from the basement den was broken and there was a large gap that allowed air to freely flow in from th..