Amiga 3 Assisted Living Home LLC

Based on observation, documentation review, and interview, the manager failed to ensure a designated caregiver was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility premises. The deficient practice posed a risk as no individual was designated to act on behalf of the governing authority in the onsite management of the assisted living facility. Findings include: 1. Upon arrival at the facility, the Compliance Officer was greeted by E2. E3 was also present at the facility. 2. A documentation review of the manager designation form listed E4 as authorized to be designated manager in the absence of E1. E4 was not on the premises when the Compliance Officer arrived. 3. In an interview, E2 revealed, the employee was not listed as a designed manager when E1 was not present. 4. In an interview, E4 acknowledged that no manager or designee was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility premises.

Based on observation and interview, the manager failed to ensure grab bars for the toilet and, if applicable, the bathtub or shower and other assistive devices, if required to provide for resident safety. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During the environmental inspection, a resident's shower area was observed in which no grab bars were present. 2. In an interview, E4 acknowledged the manager did not ensure grab bars were placed in the in the shower area as required,