Ema Board and Carehome

The facility failed to have smoke detectors and carbon monoxide detectors operable. This poses an immediate health, safety, or personal rights risk to persons in care.

The facility staff are not all first aid or CPR certified. This poses a potential health and safety risk to persons in care.

The facility staff did not comply with annual training requirements. This poses a potential health, safety or personal rights risk to persons in care.

The outdoor and indoor passageways and stairways were obstructed by various items. This poses a potential safety risk to persons in care.

The facility did not have updated medical assessments for residents R1, R2, R3, and R5. This poses a potential health or personal rights risk to persons in care.

The facility did not maintain a supply of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days. This poses a potential health risk to persons in care.

Personnel records are not maintained for all required personnel. Specifically, the S4 personnel file was found to be incomplete.

The kitchen area was not kept clean and free of litter, rodents, vermin, and insects, as evidenced by the presence of mice droppings.

The facility failed to maintain a current and complete hospice care plan for resident R1.

The facility was found to lack working smoke detectors and the fire extinguisher was not serviced recently.

Medications stored in the refrigerator were not kept in a safe and locked place, posing an immediate health or safety risk.

The facility failed to conduct a fire drill quarterly, which is required for safety documentation.

The facility failed to furnish required reports to the licensing agency, specifically regarding the hospitalization and admission of a resident to hospice services. This is a failure to report required incidents to CCLD.

The licensee failed to notify the Department in writing within five working days of the initiation of hospice care services. This omission poses a potential health and safety risk to persons in care.

The facility failed to store items dangerous to residents with dementia, such as knives and scissors, in an inaccessible location. This poses an immediate health and safety risk.

The facility did not maintain adequate supplies of food, specifically lacking 7-day non-perishables and 2-day perishables for the residents. This is a failure in basic provisions for resident care.

A resident's bedroom was observed being used as a passageway to the bathroom, which violates regulations requiring bedrooms to remain private and functional.

The facility staff were found to lack current first aid and/or CPR training, which presents a potential health and safety risk to the residents.

The facility failed to maintain current appraisal needs and services plans for four out of six residents. This indicates a lapse in required resident care documentation.

The facility did not have current appraisal needs and services plans for all residents, which is required for resident participation in decision-making.

The facility lacked a written agreement detailing responsibilities between the licensee and the home health agency for residents R1 and R6. This compromises the continuity of medical care.

Oxygen tanks not portable were observed unsecured, failing to meet requirements for securing equipment to a stand or wall.

The facility failed to submit the required written report within seven days following the hospitalization of residents R1 and R6. This is a failure in mandated incident reporting.

The LPA has not received a picture of an operable refrigerator in the kitchen following the annual inspection visit on 11/3/2022 and the POC date of 11/10/2022.

The LPA has not received an updated first aid certificate for S2 following the annual inspection visit on 11/3/2022 and the POC date of 11/10/2022.