Bed of Roses Assisted Living LLC

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

The facility failed to ensure that resident records included the required information and documentation.

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

The facility failed to search the NAR and EMR annually.

The facility failed to keep current and complete personnel records

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

The facility failed to ensure the building was kept in good repair.

The facility failed to provide the required sprinkler system to meet NFPA 13 or 13R.

The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.

The facility failed to ensure resident bedroom doors were in compliance with licensing standards for assisted living facilities.

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.

The facility failed to maintain the building free of accumulations of dirt, rubbish, dust, and hazards.

The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96.