Abigail's Assisted Living Home LLC

Based on record review and interview, the manager failed to ensure a resident accepted by the assisted living facility submitted documentation signed by a medical practitioner or a registered nurse stating whether the individual required intermittent nursing services or restraints, for one of three residents reviewed. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. In record review, R2's medical record did not include documentation signed by a Physician, Registered Nurse practitioner, Registered nurse, or Physician assistant, which included whether R2 required continuous medical services, continuous or intermittent nursing services, or restraints. Based on R2's acceptance date, this documentation was required to be in the record. 2. During an interview, E1 acknowledged the required documentation was not available for review.

Based on observation and interview, the manager failed to ensure medication stored by the assisted living facility was stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who could access the medication. Findings include: 1. During the facility tour with E2, the Compliance Officer observed the following: In a refrigerator in an unlocked garage: -Lorazepam prefilled syringes 2. During an observation, the caregiver was not accessing the medications at the time of arrival. 3. In an interview, E1 and E2 acknowledged the medication was not stored in a separate locked room, closet, cabinet, or self-contained unit.

Based on observation, and interview, the manager failed to ensure soiled linen and soiled clothing stored by the facility were stored in closed containers. Findings include: 1. During an environmental inspection with E2, the compliance officer observed a plastic laundry container with soiled clothing located in R1's bedroom not stored in a closed container. 2. During an interview, E2 acknowledged the soiled clothing stored by the facility was not stored in a closed container.

Based on observation, documentation review, and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During the facility tour, the Compliance Officer observed the following in an unlocked laundry room: -A gallon of bleach -A bottle of Pine-Sol -A container of Odor Ban -A bottle of Lysol 2. In an interview, E2 acknowledged poisonous or toxic materials stored by the assisted living facility were not maintained in a locked area inaccessible to residents.