East Orchard Manor Cares LLC

A revisit survey was completed on 4/16/24 for all previous deficiencies cited on 10/4/23. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A recertification survey was completed on 10/4/23. Deficiencies were cited. Based on observations, interviews and record review, the facility (residence) failed to provide and maintain a homelike quality and feel to the environment that supports individual comfort affecting nine current participants (residents).Findings include:1. References and Residence Policya. The undated resident agreement read in part that resident charges included care cleaning. The residence provided a physically safe and sanitary environment.b. The residence' s Room Cleaning Protocol policy, dated 10/26/22, read in part that staff followed a cleaning schedule and let residents know that they would be cleaning their rooms prior to entering their rooms.c. According to My Women Magazine, "A clean house is vital for both physical and mental health. It can prevent illnesses, extend the life of your home, and make it more enjoyable to spend time there. However, a dirty house can be a breeding ground for bacteria and other contaminants. It can also lead to depression, stress, and anxiety. Keep your house clean to protect (those who live there) from the dangers caused by a dirty home." My Woman Magazine (4/10/22) Seven Hidden Dangers of a Dirty House, retrieved from: https://www.mywomenmagazine.com/dangers-of-a-dirty-house/ d. According to Early County News, "Keeping your kitchen clean for food preparation will help prevent the spread of bacteria. Dangerous b.. Based on observations, interviews, and record review, the facility (residence) failed to follow written policies and procedures for the administration of medication in accordance with 6 CCR 1011-1, Chapter VII, affecting three of three sample participants (residents) (#1-#3).Findings include:1. Chapter VII regulations governing assisted living residences, part 14.21, requires that the assisted living residence comply with authorized practitioner' s orders associated with medication administration except for those medications which a resident self-administers.a. References and Residence PolicyThe residence' s medication policy, dated 10/26/22, read in part that the residence recognized the importance of providing quality in all services related to medication administration and monitored medications according to established state regulations.According to New York Allergy and Sinus Centers (NYASC), " Cetirizine hydrochloride and loratadine are very similar but they may affect patients in different ways. It ' s important to compare both ingredients to determine which type of medication will work best for your symptoms." NYASC (11/28/ 18) Cetirizine Hydrochloride or Loratadine , retrieved from: https://www.nyallergy.com/cetirizine-hydrochloride-or- loratadine/#:~:text=While%20patients%20have%20reported%20that,hydrochloride' s%20effects%20expire%20before%20t..

A relicensure survey was completed on 10/4/23. Deficiencies were cited. Based on interview and record review, the residence failed to ensure that the medication administration record (MAR) reflected the dosage of each medication and that each qualified medication administration person (QMAP) accurately documented each medication administration or monitoring event at the time the event was completed for each resident, affecting two of three sample residents (#1, #2).Findings include:1. Residence PolicyThe residence' s medica.. Based on interview and record review, the residence failed to provide personnel files that included a description of the employee duties, the date of hire or acceptance, and orientation for three sample staff (#1, #2, #3), affecting current residents.Findings include:The residence ' s Personnel Files policy, dated 10/26/22, read in part that the residence maintained personnel files for each staff member. The residence maintained files for current staff rea.. Based on observation and interview, the residence failed to have a menu readily available for residents and public viewing no less than 24 hours prior to serving, affecting nine current residents.Findings include:On 10/4/23 from 7:30 a.m. to 4:00 p.m., the menus posted on the hall near the front door of the residence revealed lunch and dinner menus for June 2023 and August 2023. There was no menu posted anywhere in the residence for the month during which th.. Based on observation, interview and record review, the residence failed to observe the residents' right to privacy, affecting nine current residents.Findings include:The residence' s Resident Rights Policy, dated 10/26/22, read in part that the residence "followed a written policy of rights enjoyed by all adult citizens and shall include the right to privacy."On 10/4/23 from 7:30 a.m. to 4:00 p.m., throughout the onsite visit, a resident roster was posted on the wa.. Based on observation, interview and record review, the residence failed to provide documentation indicating evidence to the successful completion of the accredited food safety course affecting nine current residents. Findings include:On 10/4/23 at approximately 10:00 a.m., documentation of food safety training for Staff #3 was requested but not provided.On 10/4/23 at approximately 2:30 p.m., Staff #3 stated that he did not remember taking the required food .. Based on observation, interview, and record review, the residence failed to comply with authorized practitioner orders associated with medication administration, affecting two of three sample residents (#1, #2).Findings include:1. References and Residence Policya. The residence' s medication policy, dated 10/26/22, read in part that the residence recognized the importance of providing quality in all services related to medication administration and monitored m.. Based on observation, interview, and record review, the residence failed to make available, either directly or indirectly through a resident agreement, a safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical environment related to the unique characteristics of the population, affecting nine current residents.Findings include:1. References and Residence Policya. The undated resid.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.11.12 The assisted living residence may also discharge a resident for:(A) Nonpayment of basic services in accordance with the resident agreement; or(B) The resident' s failure to comply with a valid, signed reside..