Famiglia Amore LLC

Based on record review and interview the manager failed to ensure a resident had a written service plan signed by a nurse or medical practitioner who reviewed the service plan when initially developed and when updated, for two of two resident records reviewed. Findings include: 1. A review of R1's medical record revealed a service plan, dated June 25, 2023, for directed care services including medication administration. However, the service plan had not been signed by a nurse or medical practitioner. 2. A review of R2's medical record revealed a service plan dated August 17, 2022, with updates on November 18, 2022, February 18, 2023, May17, 2023, and August 10, 2025, for directed care services including medication administration. However, the service plans had not been signed by a nurse or medical practitioner. 4. In an interview, E1 acknowledged R1's and R2's service plans had not been signed by a nurse or medical practitioner.

Based on observation and interview, the manager failed to ensure a rechargeable fire extinguisher was serviced at least once every 12 months. The deficient practice posed a health and safety risk to the residents if a fire extinguisher was needed and did not work properly. Findings include: 1. During an environmental inspection of the facility with E2, the Compliance Officer observed a fire extinguisher with a rating of 1A-10-BC mounted in a hallway. This fire extinguisher had a tag attached which showed an expiration date of twelve months after the inspection date of July 2021. 2. In an interview, E2 reported E5 was responsible for the fire inspection and fire extinguishers. E1 acknowledged E1 was unable to provide documentation the rechargeable fire extinguisher was serviced at least once every 12 months.