Best of Europe Adult Home Care LLC

Based on documentation review and interview, the manager failed to ensure policies and procedures were established, documented, and implemented, which covered required skills and knowledge. Findings include: 1 . A review of facility documentation revealed a policy that covered required skills and knowledge verified and documented by the facility was not available for review at the time of inspection. 2 . In an interview, E1 acknowledged a policy for skills and knowledge verification was not available for review.

Based on record review and interview, the manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge were verified and documented before the caregiver or assistant caregiver provided physical health services or behavioral health services for two of two caregivers sampled. The deficient practice posed a risk if the employees were unable to meet a resident's needs. Findings include: 1 . A review of E2's and E3's personnel records revealed documentation of skills and knowledge verification was not available for review at the time of inspection. 2 . In an interview, E1 acknowledged E2's and E3's personnel records had not contained documentation of skills and knowledge verification at the time of inspection.

Based on documentation review, observation, and interview, the manager failed to ensure there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort which provided access to an outside area which monitored or alerted employees of the egress of a resident from the facility. 1 . A review of facility documentation revealed the facility was licensed to provide directed care. 2 . During an environmental inspection of the facility, the Compliance Officers observed a door leading from the kitchen to the backyard and another door on the side of the house, also leading to the backyard. The doors had no alerts, and no monitoring system in place. 3 . During an environmental inspection of the facility, the Compliance Officers observed a door leading from the back of the facility to the backyard. The door had an alert. However, the alert was not functioning at the time of inspection. 4 . In an interview, E1 acknowledged the doors in the facility had no alert or monitoring system, and E1 reported the alerts would be replaced the same day.

Based on record review and interview, the chief administrative officer failed to ensure that the health care institution established, documented, and implemented tuberculosis infection control activities that included annual training and education related to recognizing the signs and symptoms of tuberculosis (TB) to individuals employed by the health care institution. Findings include: 1. Review of the record for E2 failed to reveal documentation indicating that annual training related to recognizing the signs and symptoms of TB had been completed. No TB training documentation was available for review. 2. During an interview, E1 acknowledge that the required documentation was not available.

Based on record review and interview the health care institution failed to develop and administer a training program for all staff regarding fall prevention and fall recovery. Findings include: 1. Review of the record for E2 (hired March 25, 2023), revealed no documentation of fall prevention and fall recovery training. 2. During an interview, E1 acknowledged that training for fall prevention and fall recovery had not been administered to all staff.

Based on record review and interview, the manager failed to ensure that for three of three sample resident records, a standardized emergency responder patient information form as described in subsection A. of this section, was completed and maintained for each resident. Findings include: 1. The medical record for R1 did not contain the completed emergency responder patient information documentation. 2. The medical record for R2 did not contain the completed emergency responder patient information documentation. 3. The medical record for R3 did not contain the completed emergency responder patient information documentation. 4. During an interview, E1 acknowledged that the required documentation was not available for review.