Best Care Home of Moon Valley LLC

Based on observation, documentation review and interview the manager failed to ensure there was a means of exiting the facility to control or alert employees of the egress of a resident from the facility for 3 of 3 doors. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. The facility was licensed at the Directed Care level of services. 2. During the facility tour the Compliance officers observed doors leading to the outside area were not secured or alarmed. There were alarms on 3 of 3 doors that were turned off. The door leading to the backyard had a door alarm with batteries that were not functioning. 3. During document review the Compliance Officer revealed a policy and procedure titled “Wandering Residents” which stated, “... if alarms are being used on doors and /or windows, the caregiver will check them daily for operation and security; a. Alarms that are triggered will be investigated immediately by the caregiver on duty”. 4. In an interview, E1 acknowledged that a means of exiting the facility to control or alert employees of the egress of a resident from the facility was not functioning.

Based on observation, documentation and interview the manager failed to ensure that food is obtained, and stored as follows; Potentially hazardous foods requiring refrigeration are maintained at 41° F or below. The deficient practice posed a risk for potential food borne illnesses. Findings include: 1. During the facility tour the Compliance Officers observed the temperature of the refrigerator was above 41 degrees. The refrigerator had two thermometers which read 48 degrees and 52 degrees. 2. In a review of facility policy and procedure a policy, the Compliance Officers revealed a policy titled “Food Service” which stated, “Food stored in the refrigerator shall maintain a temperature of 41 degrees Fahrenheit or below”. 3. During an interview, E1 acknowledged that food was not stored per the policy which read food stored in the refrigerator shall maintain a temperature of 41 degrees Fahrenheit or below.