Class Act Glencove Mesa, LLC

Based on documentation review and interview, the manager failed to ensure policies and procedures were reviewed at least once every three years and updated as needed. The deficient practice posed a risk as policies and procedures reinforce and clarify standards expected of employees. Findings include: 1. Review of facility's policy and procedure manual revealed no documentation indicating the policies and procedures were reviewed by the manager. 2. During an interview, E1 acknowledged there was no documentation indicating the facility's policies and procedures were reviewed by the manager of the facility.

Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who could access the medication. Findings include: 1. During the facility tour with E2, the Compliance Officer observed a cabinet in the living room that held nine resident's medications unlocked. This cabinet had a child resistant latch, however the cabinet was not locked. 2. In an unlocked shed in the resident-accessible yard, the Compliance Officer observed a package of Dayquil and Nyquil on a table. 3. During an interview, E1 and E2 acknowledged medications were not stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.

Based on observation and interview, the manager failed to ensure garbage and refuse were stored in covered containers lined with plastic bags. Findings include: 1. During the facility tour with E2, the Compliance Officer observed garbage containers that were not lined with plastic bags in the pantry and a common area bathroom. 2. In an interview, E1 reported that the caregivers had taken the garbage out earlier that morning, and had not had time to replace the liners. E1 acknowledged garbage containers were not lined with plastic bags.

Based on observation and interview, the manager failed to ensure combustible or flammable liquids and hazardous materials stored by the assisted living facility were stored in a locked area inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During the facility tour, the Compliance Officer observed 2 cans of "First Street Butane Fuel" on the ground in the resident-accessible back yard. 2. In an interview, E1 acknowledged combustible or flammable liquids stored by the assisted living facility were not stored in a locked area inaccessible to residents.

Based on observation and interview, the manager failed to ensure a resident bathroom contained a slip-resistant surface in the shower. Findings include: 1. During a tour of the facility with E2, the Compliance Officer observed the facility's common area bathroom contained a shower. However, the shower did not contain a slip-resistant surface. 2. In an interview, E1 and E2 acknowledged the shower in the common area bathroom did not contain a slip-resistant surface.