Danila Care Home II

Based on record review and interview, the manager failed to ensure a resident had a written service plan reviewed and updated at least once every three months, for one of two residents receiving directed care services. Findings include: 1 . A review of R1's medical record revealed a service plan dated December 16, 2024. However, documentation of a service plan conducted three months after December 16, 2024 was not available for review at the time of inspection. 2 . In an interview, E3 acknowledged R1's service plan was not updated 3 months after December 16, 2024 as required.

Based on observation and interview, the manager failed to ensure there was a 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 that controls or alerts employees of the egress of a resident from the facility. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officers observed the front door leading to the front yard. The front door had a double-sided key-locked deadbolt and an alert. However, the key was left in the deadbolt, and the alert was turned off. 2 . During an environmental inspection of the facility, the Compliance Officers observed the back door leading to the backyard. The back door had a double-sided key-locked deadbolt and an alert. However, the key was left in the deadbolt, and the alert was turned off. 3 . In an interview, E1 acknowledged the front and back door control or alerts were not functioning at the time of the inspection and did not alert employees of resident egress.