Champions Assisted Living

The facility failed to maintain an environment free of hazards, specifically leaving personal care items in unlocked cabinets accessible to residents in the special care unit. Other hazards identified included a thick black stain on a shower ceiling and a large hunting knife left on a shelf in a resident's room.

The facility failed to ensure that the environment was uncluttered and free of obstructions. Specifically, in room 111, child-proof cabinet locks were found open, exposing products with ingestion warnings to residents. In room 110, a broken cabinet lock left hazardous products like alcohol-based shampoos and body powders accessible.

The facility failed to maintain an environment free of hazards in the Special Care Unit (SCU) by leaving personal care products accessible to residents. Specifically, large bottles of shampoo and body wash containing ingredients like benzyl alcohol were found unsecured on bathroom ledges, and an electric razor was left on a countertop. Staff were unable to explain why cabinet locks were not being utilized to secure these items.

The facility failed to maintain an environment free of hazards by allowing personal care products to be accessible to residents in the Special Care Unit (SCU). Specifically, large bottles of shampoo and body wash containing ingredients like benzyl alcohol were found on a shower ledge in an unlocked room. This contradicts the facility's disclosure statement which promises a safe environment where residents in the SCU do not have access to potentially harmful objects.

The facility failed to clarify conflicting information on the FL-2 form regarding the resident's required level of care. Specifically, for 7 out of 8 sampled residents, the facility did not contact the physician to resolve discrepancies when the FL-2 documented a skilled nursing facility (SNF) level of care, which the facility could not meet.

The facility failed to clarify conflicting information on a resident's FL-2 form regarding their required level of care. Specifically, the resident's medical documentation recommended a skilled nursing facility (SNF) level of care, which the facility failed to verify or correct to ensure they could meet the resident's needs.

The facility failed to maintain the call bell system in working order for assisted living residents. Interviews with residents, family, and staff revealed the system had been non-functional for months to over a year, forcing residents to use whistles to signal for help.

The facility failed to ensure residents are assessed within 30 days of admission and annually thereafter to determine wandering risks. Additionally, there was a failure to properly care plan residents who wander appropriately and to barricade hazardous areas to prevent entry.

The facility failed to ensure that exit doors accessible by residents known to be disoriented or wanderers were equipped with functioning sounding devices. Specifically, a 3rd-floor exit door was found unlocked and without an active alarm, and a 1st-floor exit door leading outside was unlocked and lacked a sounding device.