B & B Assisted Living # 5

The facility failed to provide proper written notice of discharge for four residents, failing to include the required 30 days advance notice and appeal rights. Additionally, the facility did not document the reasons for discharge or the necessary conditions to ensure an orderly transfer.

The facility failed to notify the Division of Health Service Regulation (DHSR) that the evacuation capabilities of two residents had changed due to cognitive impairments. These residents could not evacuate independently, which contradicts the facility's license for ambulatory residents. Additionally, previous surveys showed residents were unable to evacuate without staff assistance or within the required 8-minute timeframe.

The facility failed to notify the Division of Health Service Regulation that the evacuation capabilities of two residents had changed. Specifically, two residents with cognitive impairments were residing in the home, which would prevent them from evacuating the facility independently, contradicting the license which specifies a capacity of 6 ambulatory residents.

The facility failed to maintain the premises in a clean, orderly, and hazard-free manner. Specific issues included a broken vanity cabinet in disrepair, loose linoleum flooring in the common bathroom, unpainted wood base trim, loose ceiling plaster in a resident bedroom, and a missing wall trim around a toilet paper dispenser.

The facility failed to ensure that three exit doors could be opened with a single hand motion without keys. Specifically, three exit doors were equipped with deadbolt locks that required a thumb-turn in addition to turning the doorknob. A live-in staff member confirmed they engaged these deadbolts at night.

The facility failed to ensure that blood pressure checks were completed and documented as ordered for a resident. A review of Resident #3's records showed an order for weekly blood pressure checks that was not being met.