Access Health System 3

The facility failed to ensure that two exit doors had a continuous sounding device that was audible when opened, which placed a resident who was intermittently disoriented at risk for elopement. Specifically, the front door alarm did not sound at all, and a second door near the kitchen did not sound continuously.

The facility failed to ensure food was served under sanitary conditions, with evidence of expired and molded food, improper labeling, and a dirty oven with grease buildup. Additionally, clothes were observed sitting on the kitchen table during an inspection of the kitchen area.

The facility failed to ensure that two exit doors had a continuous sounding device that was audible when opened, which is required for residents exhibiting wandering behavior. Specifically, the front door failed to sound an alarm when opened, and a second kitchen exit door did not sound continuously. This deficiency was identified for a resident known to be intermittently disoriented.

The facility failed to ensure walls, ceilings, and floors were kept clean and in good repair. Specific issues included peeling wallpaper, cracked/missing caulking, broken tiles, and significant brown or black staining on floors and walls in resident bathrooms and the common room. Additionally, damaged flooring and rusted fixtures were observed throughout the facility.

The facility failed to ensure walls, ceilings, and floors were kept clean and in good repair for two resident bathrooms, the hallway, and the common room. Specific issues included cracked/missing caulking, peeling wallpaper, broken tiles, and persistent brown/black stains on floors and vents. Additionally, maintenance items such as a detached door handle, a missing shower head, and damaged flooring were identified.

The facility failed to keep the kitchen and food storage areas clean and protected from contamination. Specific issues included rust in the microwave, grease buildup on the stove hood and oven, and food debris in the oven drawer. Additionally, several food items in the refrigerator and freezer were stored in unlabeled bags without dates of opening.

The facility failed to maintain clean and orderly kitchen and food storage areas, specifically regarding the microwave, stove hood, and oven. Additionally, food items in the refrigerator and freezers were found without proper labels or dates of opening, and some items were not in their original packaging.

The facility failed to maintain clean and orderly kitchen and food storage areas, specifically regarding the microwave, stove hood, and oven. Additionally, food items in the refrigerator and freezers were found without proper labels or dates of opening, and some items were not in their original packaging.

The facility failed to ensure that two personal care staff members (Staff B and Staff C) successfully completed the required 25-hour personal care training program and competency evaluation. Records for both employees showed no documentation of completed training, despite their roles involving personal care tasks for residents.