Alta Vista

Based on observation and interview, the manager failed to ensure there is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that controls or alerts employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officers observed two sliding glass doors leading to an outside area from a memory care unit. Both sliding glass doors had an alert. However, both alerts on both doors were turned off. 2 . In an interview, E1 acknowledged the door alerts were turned off in the memory care unit.

Based on observation and interview the manager failed to ensure poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officers observed an unlocked "Laundry Room" on the fourth floor of the facility. Inside the "Laundry Room" was a box of "Tide" Ulta Oxi laundry detergent, and a container and bag of "All" Mighty Pacs detergent pods. 2 . In an interview, E1 reported all laundry services are handled by staff members. E1 acknowledged poisonous or toxic materials stored by the assisted living facility were accessible to residents.