Bella Vita Residential Assisted Living LLC

Based on documentation review, record review, and interview, the health care institution failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk as organized instruction and information related to resident care and safety was not implemented. Findings include: 1. A review of the facility's policies and procedures titled, "Employees and Volunteers Orientation and On-going Training Policy and Procedures," revealed in section three, "... On-going training may include, but is not limited to: h. Trip and fall preventions". However there is no mention of fall recovery. 2. A review of E2's personnel record revealed no documentation of fall prevention and fall recovery training. 3. In an interview, E1 acknowledged documentation was not available that showed E2 completed fall prevention and fall recovery training. This is a repeat deficiency from the compliance inspection conducted November 30, 2022.

Based on observation and interview, the manager failed to ensure medication stored by the 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 residents who were unable to self-administer medications. Findings include: 1. The Compliance Officer observed the medicine closet unlocked and slightly open. The Compliance Officer was able to open the door without the assistance of a key. The sample of medications located within the closet were as follows: - Acetaminophen PM 25-500 mg - Acetamin 500 mg - Senna-Plus Tab 8.6-50 mg - 90 Tab Acetamin PM 25-500 mg 2. The Compliance Officer observed 1ml Aplisol and Gabapentin Sol 250/5 ml unlocked in the refrigerator that was located by the kitchen. 3. In an interview, E1 acknowledged medications were stored unlocked.

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of the residents. Findings include: 1. The Compliance Officer observed the following poisonous or toxic materials stored in an unlocked laundry room located in the backyard of the facility. - A bottle of Fabuloso Multi-Purpose Cleaner - A bottle of Bleach - A container of Lysol Disinfecting Wipes - A 166.5 Fl OZ container of Arm & Hammer plus Oxiclean stain fighters 2. In an interview, E1 acknowledged there were poisonous or toxic materials stored by the assisted living facility maintained in unlocked areas.