Agape Family Care Home # 1

The facility failed to ensure a Resident Register was signed and dated within 30 days following admission for one of three sampled residents. Specifically, Resident #2's Resident Register was not signed or dated by the resident, their representative, or the Administrator/Supervisor-in-Charge.

The facility failed to develop and implement an activity program designed to engage residents with each other and the community. The Administrator, who served as the activity coordinator, was responsible for this program.

The facility failed to complete resident assessments within 30 days of admission and annually thereafter. These assessments must include comprehensive information regarding the resident's physical, cognitive, and psychosocial status, as well as their ability to perform activities of daily living.

The facility failed to maintain cleanliness in common bathrooms and resident rooms. Specific issues included black substance on tub caulk, soap scum buildup in the tub, and dark substance between tiles in a resident shower. Additionally, a resident's bed had a strong urine odor and a large wet, yellow stain on the mattress cover.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included holes and protruding plaster in the living room and resident room #3, cracked/peeling popcorn ceilings, and broken or lifting tiles with missing grout in resident bathrooms. Additionally, the kitchen laminate flooring was cracked and peeling, exposing the subflooring.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included protruding wall strips, unpainted walls, and a hole in a resident room wall covered with failing tape. Additionally, shower floors in resident areas had broken or lifting tiles and missing grout, creating uneven and difficult-to-clean surfaces.

The facility failed to notify the Division of Health Service Regulation that a resident's evacuation capabilities had changed. Specifically, one resident with cognitive impairments was identified who could not independently evacuate, which differs from the facility's license for six ambulatory residents.

The facility failed to implement CDC-recommended infection control measures during the COVID-19 pandemic. Specifically, staff and visitors were not properly screened for symptoms, face masks were not worn correctly by visitors, and residents were not wearing masks or practicing social distancing. Additionally, the facility lacked adequate hand hygiene supplies for residents.

The facility failed to maintain common and resident room bathrooms in a clean and orderly manner. Observations revealed mildew and soap scum build-up on shower curtains, shower stall wall tiles, and shower chairs.