Garden Village Assisted Living V

Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months which posed a safety risk. Findings include: 1. During the review of the facility's documents that were requested earlier at the beginning of the compliance inspection revealed there was no documentation as evidence the facility had reviewed the disaster plan and documented as required during the past 12 months. 2. In an interview, E1 acknowledged there was no documented evidence the disaster plan was reviewed and documented as required.

Based on documentation review and interview, the manager failed to ensure employee disaster drills were conducted at least once every three months on each shift and documented. Findings include: 1. During a review of the posted personnel current work schedule and an interview, E1 reported the facility had two shifts: First shift from 7:00 AM to 7:00 PM, and the second shift from 7:00 PM to 7:00 AM. 2. Review of the facility's documentation, the compliance officer had requested and was not provided with the documentation of the second shift employee disaster drills during the past 12 months. The personnel schedule showed that E3 worked alone on the second shift. 3. In an interview, E1 acknowledged the employee disaster drills were not conducted at least every three month on the second shift as required.