Chekela Turner's Place

Based on record review and interview, the manager failed to ensure before or at the time of acceptance of an individual, the individual submitted documentation dated within 90 calendar days before the assisted living facility accepted the individual, that included if the individual required continuous medical services, continuous or intermittent nursing services, or restraints, dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant; for two out of two sampled residents. 1. A review of R1’s and R2’s medical records revealed R1 and R2 did not have documentation determining if R1 or R2 required continuous medical services, continuous or intermittent nursing services, or restraints, dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant, 90 days or before acceptance. 2. In an interview, E1 acknowledged that there was no documentation available to reflect that the above requirement had been met.

Based on documentation review, observation, and interview, the manager failed to ensure for a facility authorized to provide directed care services, the means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort, controlled or alerted employees of the egress of a resident from the facility to the outside area allowing the resident to be at least 30 feet away from the facility. Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. During a facility tour with E1, the compliance officer observed when exiting from the patio door to the backyard, no alarm sounded to alert employees of the egress of a resident from the facility. 3. In an interview, E1 acknowledged the patio door did not control or alert employees of the egress of a resident from the facility.

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications, and were inaccessible to residents. Findings include: 1. The compliance officer observed Clorox spray and Fabuloso accessible underneath the facility’s kitchen sink. 2. In an interview, E1 acknowledged that poisonous or toxic materials stored by the assisted living facility were not maintained in a locked area inaccessible to residents.