Apollo Residential Assisted Living

Based on record review and interview, the health care institution’s chief administrative officer failed to ensure training and education related to recognizing the signs and symptoms of tuberculosis (TB) was provided annually to individuals employed to the health care institution, for two of two personnel sampled. The deficient practice posed a potential illness risk to residents. Findings include: 1. A review of E1's, E2's, and E3's personnel record did not include documentation of initial and annual training on recognizing the signs and symptoms of TB. 2. In an interview, E1 acknowledged that E1's, E2’s, and E3’s records did not contain the training and education related to recognizing the signs and symptoms of tuberculosis (TB). E1 reported that he was not aware of the annual staff training for signs and symptoms of TB.

Based on documentation review and interview, the manager failed to ensure that the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. Findings include: 1. A review of facility documentation revealed that the Disaster Plan was last reviewed in 2023. 2. In an interview, E1 acknowledged that the Disaster plan was not reviewed at least once every 12 months.

Based on observation and interview, the manager failed to ensure that 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 the environmental inspection of the facility, the Compliance Officers observed a cabinet under the kitchen sink that contained poisonous and toxic materials. The lock on the cabinet did not prevent a resident from opening the cabinet which contained the following items: Cascade dish soap Can of Comet Bleach 2. In an interview, E1 acknowledged that poisonous or toxic materials were not stored in an area that was locked and inaccessible to residents.

Based on documentation review, observation and interview, the manager failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in a bedroom. The deficient practice posed a risk if residents were unable to summon help from personnel members Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. The Compliance Officer observed no bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies in three resident bedrooms. 3. In an interview, E2 reported no bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in several resident's bedroom due to the residents having dementia. 4. In an interview, E1 acknowledged E1 failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in a bedroom.

Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. The deficient practice posed a risk as a disaster plan reinforces and clarifies standards expected of employees. Findings include: 1. A review of facility documentation revealed a disaster plan review conducted on August 10, 2020, and June 19, 2021. However, documentation of a disaster plan reviews in 2022 and 2023 were not available for review. 2. In an interview, E1 acknowledged E1 failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months.