Amaris Assisted Living LLC

An initial licensure revisit was completed on 9/9/24 for the previous deficiency cited on 7/30/24. A deficiency was cited. Based on observation, record review and interview, the residence failed to be in compliance with all applicable regulations.This failure created the potential for mismanagement of the care of and services for the residents who would be served by this residence.Findings include:12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services, sufficient to meet the needs of the residents:(A) A physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population.On 9/9/24 at approximately 1:30 p.m., there was a sliding door leading to the backyard concrete outdoor patio area. Although a threshold cover had been added on part of the uneven threshold surface, there remained an uneven surface measuring up to approximately one inch, creating a potential tripping hazard. Additionally, although grass had been added to the area between the concrete walking path and the grass/yard, there remained a difference in surface depth, measuring approximately 24 inches in length and up to approximately one inch in height. This created a potential trip and fall hazard from the path. On 9/9/24 at approximately 1:30 p.m., the administrator and owner acknowledged the uneven surface at the sliding door threshold and the backward walking path, which had been previously cited and was not corrected. The administrator confirmed that a contractor arrived during the onsite survey to determine how the uneven sliding door threshold surface could be corrected. On 9/9/24 at approximately 2:30 p.m., there was a concrete ramp and stairs leading to the residence' s entrance. Due to its design, there was a gradual change in surface depth from a flat surface to approximately six inches. This slope created a potential tripping hazard since there was no handrail present. Additionally, there was a wood ramp inside the garage leading to the residence' s interior. The end ..

An initial licensure revisit was completed on 7/30/24 for the previous deficiency cited on 6/5/24. A deficiency was cited. Based on observation, record review and interview, the residence failed to be in compliance with all applicable regulations.This failure created the potential for mismanagement of the care of and services for the residents who would be served by this residence.Findings include:-11.6 The written resident agreement shall specify the understanding between the parties concerning, at a minimum, the following items:(E) Responsibility for providing and maintaining bed linens, bath and hygiene supplies, room furnishings, communication devices, and auxiliary aids; and(F) A guarantee that any security deposit will be fully reimbursed if the assisted living residence closes without giving resident(s) written notice at least thirty (30) calendar days before such closure.On 7/30/24 at approximately 8:30 a.m., the administrator and consultant provided the written resident agreement. There was no evidence of the understanding between the parties concerning: a. Responsibility for providing and maintaining bed linens, bath and hygiene supplies, communication devices, and auxiliary aids. b. The agreement read in part: "Any deposit minus damages will be refunded within 60 days if facility closes without notice ..." However, the agreement did not specify at least 30 calendar days before such closure, as required.On 7/30/24 at approximately 10:20 a.m., the administrator and the consultant acknowledged the written agreement did not contain the requirements and had not been corrected. The consultant stated she would provide a written agreement by the end of the business day that met the requirements.On 7/30/24 at 4:23 p.m. after the onsite exit, the second consultant sent an email to the department which included the written resident agreement. There was no evidence of the understanding between the parties concerning: a. Responsibility for providing and maintaining bed linens, bath and hygiene supplies, communication devices, and auxiliary aids. b. The agreement did not specify that a guarantee of any security deposit was fully reim..

An initial certification revisit was completed on 7/30/24 for the previous deficiencies cited on 6/5/24. Deficiencies were cited. Based on observation, record review and interview, the setting (residence) failed to ensure the individual (resident) had a right to privacy and was in a visible location to be always available to residents and visitors, affecting all residents who would be served by this residence. This deficiency was cited previously during a state certification survey 6/5/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:The consultant provided an undated Rights of Persons Disclosure policy on her computer screen. The policy read in part that residents had the right to privacy. There was no evidence that a resident rights policy with the following requirements was visible and would be always .. Based on observation, record review and interview, the setting (residence) failed to ensure the individual (resident) had a right to privacy in their living/sleeping units, affecting two residents who would be served by this residence.This deficiency was cited previously during a state certification survey 6/5/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:During the environmental tour on 7/30/24 at approximately 8:15 a.m., observations, interview and record review revealed the residence failed to ensure Room #3' s design would provide complete visual privacy for residents who would reside in the double occupancy room. The administrator and the consultant stated t.. Based on record review and interview, the setting (residence) failed to ensure the individual (resident) written agreement specified that staff/contractors would not enter a unit without providing advance notice and agreeing upon a time with the individual(s) in the unit, affecting all residents who would be served by this residence. This deficiency was cited previously during a state certification survey 6/5/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:On 7/30/24 at approximately 8:30 a.m., the administrator and consultant provided the written resident agreement. There was no evidence the agreement included that staff/contractors would not enter a unit without pro.. Based on record review and interview, the setting (residence) failed to ensure the policy on resident rights included the required rights, affecting all participants (residents) who would be served by this residence. This deficiency was cited previously during a state certification survey 6/5/24. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:The residence' s undated Rights of Persons Disclosure policy read in part:"The right to be treated with respect and dignity ...the right to choose roommates ..."However, the policy failed to clearly identify the following resident rights as required:1. The opportunity to responsibly contribute to the home in meaningful ways, engage in communit..

An initial certification survey was completed on 6/5/24. Deficiencies were cited. Based on observation, record review and interview, the setting (residence) failed to ensure the individual (resident) had a right to privacy in their living/sleeping units which included a bedroom door with a lock and key, affecting all residents who would be served by this residence. (Cross-reference A410)Findings include:The residence' s Rights of Persons Disclosure document read in part: "The right to privacy."During the onsite visit on 6/4/24 from approximately 8:00 a.m. to 1:00 p.m. with the administrator, the following interviews, observations and record review revealed the residence failed to ensure the design for privacy for residents who would reside in double occupancy rooms including.. Based on record review and interview, the facility (residence) failed to ensure appropriate staffing levels by adjusting staff ratios based on the individual acuity and needs of the participants (residents) in the facility, affecting all residents who would be served by this residence. Findings include:The residence was requested to provide a staffing policy or document which outlined that the residence would determine appropriate staffing levels by adjusting staffing ratios to provide services outlined in care plans considering the individual needs, level of assistance and risk of accidents. However, no policy or document was provided.On 6/4/24 at approximately 1:15 p.m., the administrator c.. Based on record review and interview, the facility (residence) failed to ensure staffing requirements met minimum staffing ratios, affecting all participants (residents) who would be served by this residence. Findings include:The residence was requested to provide a staffing policy or document that contained the minimum standard ratios to meet staffing requirements which included a minimum of 1 staff to 10 participants during the daytime and a minimum of one staff to 16 participants during the nighttime. However, no policy or document was provided.On 6/4/24 at approximately 1:15 p.m., the administrator confirmed the residence did not have such a policy or document. Based on record review and interview, the setting (residence) failed to ensure the individual (resident) written agreement specified that staff/contractors would not enter a unit without providing advance notice and agreeing upon a time with the individual(s) in the unit, affecting all residents who would be served by this residence. (Cross-reference A416)Findings include:On 6/4/24 at approximately 10:00 a.m., the administrator provided the residence' s Residency, Service and Admission Agreement. There was no evidence the agreement included that staff/contractors would not enter a unit without providing advance notice and agreeing upon a time with the individ.. Based on record review and interview, the setting (residence) failed to ensure the policy on resident rights included the required rights, affecting all participants (residents) who would be served by this residence. On 6/4/24 at approximately 8:05 a.m., an undated Rights of Persons Disclosure was posted in the residence. On 6/4/24 at approximately 10:00 a.m., the administrator provided the same document. There was no evidence of the following participant rights in the document:1. The choice in selecting the ACF in which they reside.2. The opportunity to responsibly contribute to the home in meaningful ways, engage in community life, and express personal choice.3. Th..