Better Life Assisted Living 2

Based on record review and interview, the manager failed to ensure that before providing assisted living services to a resident, a caregiver provided current documentation of first aid training and cardiopulmonary resuscitation (CPR) training certification specific to adults which posed a health and safety risk for one of four personnel records reviewed who were required to complete first aid and CPR training. Findings include: 1. Review of E2's personnel record revealed that the employee was hired on March 1, 2022 to work as a caregiver, however, there was documented evidence that E2's first aid and CPR training had expired on November 1, 2023. 2. In an interview, E2 and E3 acknowledged E2's first aid and CPR had expired and E2 continued to work as a caregiver.

Based on record review and interview, the manager failed to ensure that one of three sampled residents who were receiving personal care services had a written service plan reviewed and updated at least once every six months, which posed a health and safety risk. Findings include: 1. Review of R1's medical record revealed that R1 required personal care services. The only service plan for the past twelve months was dated June 15, 2023. R1's service plan was not updated at least every six months. Based on the resident's date of acceptance, this documentation was required. 2. In an interview, E3 acknowledged there was no documentation that R1's service plan had been updated as required. E3 acknowledged R1 was receiving personal care services.

Based on observation and interview, the manager failed to ensure medications stored by the facility were stored in a locked room, closet, cabinet, or self-contained unit; which posed a health and safety risk. Findings include: 1. During a facility tour, E2 and the compliance officer observed in the facility's kitchen in an unlocked cabinet above the counter that could easily be opened there were stored facility filled medication organizers containing medications for R1, R2, and R3. There were also bottles of Miralax, Finasteride, Pantoprazole DR, Acetaminophen, Gabapentin, Aspirin, Tamsulosin HCL, Tramadol HCL, Cetirizine ACL, and Lisinopril. 2. In an interview, E2 acknowledged the medications were not stored in a locked cabinet which posted a health and safety risk. The compliance officer observed E2 trying to fix the lock to get the cabinet to lock.