A Loving Hand

A revisit survey was completed on 3/26/24 for all previous deficiencies cited on 5/18/23. 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 revisit was completed on 5/18/23 for all previous deficiencies cited on 7/14/22. A deficiency was cited. Based on observations and interview, the residence failed to ensure resident rooms occupied by smokers had fire resistant wastebaskets, affecting three of three residents who smoked (#2, #3, #7).This deficiency was cited previously during a state licensure survey on 7/14/22. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.Findings include:Resident #2, #3, and #7 were identified as smokers at the residence.On 5/18/23 at approximately 8:40 a.m., there were plastic and metal trash cans in Resident #2, #3, and #7' s rooms and not the required fire resistant wastebaskets. On 5/18/23 at 12:35 p.m., the house manager stated Residents #2, #3, and #7 were smokers. She stated she was aware residents who smoked were required to have fire resistant wastebaskets in their room. She stated that this deficiency which was previously cited was not corrected because she thought since the wastebaskets were mostly metal, they were fire resistant. 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 revisit was completed on 5/18/23 for all previous deficiencies cited on 7/14/22. The residence is in compliance with all regulations surveyed. 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 complaint, prompted by #CO32153 was completed on 5/18/23. A deficiency was cited. Based on interview and record review, the residence failed to ensure each staff member was physically able to adequately and safely perform all functions essential to resident care, affecting seven current residents.Findings include:On 5/18/23 at 10:44 a.m., the house manager stated she was onsite on 5/10/23 when Staff #3 did not feel well. She stated she was not aware that residents served their own lunch and independently ordered pizza for dinner. She also stated she was aware the staff member did not feel well, however, Staff #3 stated she was able to do the job and did not want to be sent home. On 5/18/23 at 11:15 a.m., Resident #7 stated she served the residents lunch on 5/10/23 because Staff #3 was not physically able to. She also stated the lunch was prepared by Staff #3, however, she served each resident lunch. She stated Resident #9 had bought everyone pizza for dinner so that Staff #3 could rest. Resident #7 stated if Resident #9 had not bought everyone pizza for dinner, the residents would have made frozen pizza for dinner.On 5/18/23 at 11:25 a.m., Resident #4 stated on 5/10/23, Staff #3 did not feel well and had fallen asleep on the couch. She stated that lunch had been prepared by the staff member, however, Resident #7 had to serve the residents food because the staff member was not physically able to serve the residents. Additionally, she stated that Resident #9 ordered pizza for all the residents for dinner because Staff #3 was not physically able to prepare dinner.On 5/18/23 at 11:29 a.m., Staff #3 stated she did not feel well on 5/10/23 from approximately 10:00 a.m. to 4:00 p.m. She stated she sat on the couch on and off throughout those hours. She also stated the house manager was onsite during that time, in the basement, if the residents had an emergency. However, she confirmed she was not physically able to serve the residents lunch even though she had prepped it. She stated Resident #7 served the residents lunch and Resident #9 bought all the residents pizza for dinner. Further, Staff #3 stated she wore a mas..