Arden Valley Home Care

Based on record review and interview, the manager failed to ensure a caregiver or an assistant caregiver documented the services provided to a resident in the resident's medical record, for two of two sampled residents. Findings include: 1. A review of the medical records of R1 and R2 revealed current service plans which indicated R1 and R2 were to receive assistance with dressing. The review further revealed documentation of assisted living services provided to R1 and R2 (ADLs) dated July 2024 and August 2024. However, the ADLs revealed no documentation demonstrating a caregiver or assistant caregiver assisted R1 and R2 with dressing during those months and no place designated on the ADLs to document assistance with dressing. 2. In an interview, E2 reported the ADLs did not contain a place to document assistance with dressing. E2 reported caregivers assisted R1 and R2 with dressing but did not document it. This is a repeat citation from the complaint and compliance inspection conducted on March 27, 2023.

Based on observation and interview, the manager failed to ensure medication stored by an assisted living facility was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to the physical health and safety of residents with access to the medication. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed an unlocked cabinet in the kitchen above the oven. Inside the cabinet, the Compliance Officer observed a bottle of "NyQuil." 2. In an interview, E2 and E4 reported not knowing the medication had been there. This is a repeat citation from the complaint and compliance inspection conducted on March 27, 2023, and the compliance inspection conducted on May 24, 2022.

Based on observation and interview, the manager failed to ensure the premises was free from a condition or situation that may have caused a resident or other individual to suffer physical injury. The deficient practice posed a risk to the health and safety of a resident. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed a mop handle and two hoses strewn across a walking path in the backyard, creating a tripping hazard. 2. In an interview, O1 acknowledged the tripping hazard, reporting facility personnel discouraged residents from going in the backyard during the summer. Technical assistance was provided on this rule during the complaint and compliance inspection conducted on March 27, 2023.