Corrine Assisted Living

Based on documentation review, observation, and interview, the manager failed to ensure the means of exiting the facility for a resident who does 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. The deficient practice posed a risk if staff were unaware of the egress of a resident from the facility. Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. Review of the facility's policy and procedure revealed a policy titled "Whereabouts of a Resident". This policy stated, "Exit doors and windows to the outside of the facility that a wandering resident might exit through will be alarmed to alert employees in the event that a resident is wandering. Facility personnel will check daily to ensure that the alarms are functioning correctly. The Manager will be notified immediately if repairs are needed." 3. During the environmental inspection of the facility, the Compliance Officers observed an alert on the backdoor; however, the alert was not activated. 4. In an interview, E1 reported E1 turned off the alert to minimize the noise when E1 was going in and out of the backdoor to obtain items for breakfast and forgot to turn it back on. E1 and E2 acknowledged that the means of exiting the facility was not controlled or alerted.

Based on observation, document review, and interview, the manager failed to ensure the premises was free from a condition or situation that may cause a resident or other individual to suffer physical injury. The deficient practice posed a risk to the physical health and safety of residents. Findings include: 1. During an environmental inspection of the facility the Compliance Officers observed an empty, capped insulin needle to be on the kitchen counter. 2. Review of the facility's policy and procedure revealed a policy titled "Environmental and Physical Plant Safety". This policy stated, "Knives and sharp objects shall be kept out of sight (off counter tops and appliances) when not in use when residents that are unable to recognize danger live in the facility. If necessary, knives and sharp objects may need to be locked up to protect residents who wander in the kitchen area and open drawers." 3. In an interview, E1 and E2 acknowledged the premises was not free from a condition or situation that may cause a resident or other individual to suffer physical injury. 4. In an interview, E1 reported that E1 forgot to dispose of the needle after use.