Circle of Life Alzheimer Homes, LLC

Based on record review and interview, the manager failed to ensure a caregiver provided current documentation of cardiopulmonary resuscitation (CPR) training certification specific to adults before providing assisted living services to a resident, for one of three sampled applicable personnel members. The deficient practice posed a risk if a caregiver was unable to meet a resident's needs during an emergency. Findings include: 1. A review of E4's personnel record revealed E4 was hired as a caregiver. The review revealed a CPR training certification dated as expired on November 27, 2022, after E4 began providing services. The review revealed a CPR training certification dated as issued on November 18, 2022, and expired on November 28, 2024. However, the certification stated the training was “an Internet based activity” and did not include a demonstration of E4's ability to perform CPR. The review further revealed a current CPR training certification dated as issued on November 14, 2024, which did include a demonstration of E4's ability to perform CPR. However, the review concluded E4 did not have CPR certification which included a demonstration of E4's ability to perform CPR for approximately two years. 2. In an interview, E4 reported E4 did not have another CPR certification between November 2022 and November 2024. 3. In a telephonic interview, E1 stated, “It says internet based. It’s no good.”

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 individual was accepted by the facility to include whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for two of two sampled residents. The deficient practice posed a risk if the facility was unable to meet the needs of a resident. Findings include: 1. A review of R1's medical record revealed a document titled "Physician’s Report for Assisted Living Home.” The document stated R1 did not require “skilled nursing care.” However, the review revealed no documentation demonstrating whether R1 required continuous medical services, continuous or intermittent nursing services, or restraints. 2. In an interview, E2 acknowledged the document did not comply with this rule and reported facility personnel must have used an old form instead of the newer, updated form. 3. A review of R2's medical record revealed a document titled "Physician’s Report for Assisted Living Home.” The document stated R2 required “continuous medical and nursing care” and did not require restraints. However, the review revealed no documentation demonstrating whether R2 required intermittent nursing services. 4. In an interview, E2 reported R2’s document was incorrect. E2 reported R2 did not require continuous medical and nursing care. Technical assistance was provided on this rule during the compliance inspection conducted on May 24, 2022.