Gardens Care Homes - Cherry Knolls, the

A relicensure survey with complaint #CO35235 was completed on 9/4/24. A deficiency was cited. Based on record review, observation, and interviews, the residence failed to maintain a safe environment, either directly or indirectly through a resident agreement, affecting 12 current residents. Findings include:1. Residence Agreement and PolicyThe residence' s Emergency Policies and Procedures, dated 7/2019, read in part: "The (residence) has readily available a roster of current residents, their room assignments, and emergency contact information along with a building diagram showing room locations. A schematic plan of the building or portions thereof placed visibly in a central location and throughout the building, as needed, showing evacuation routes, smoke stop and fire doors, exit doors, and the location of fire extinguishers and fire alarm boxes."The residence' s undated resident agreement read in part: "The (residence) agrees to make available, either directly or indirectly through provider agreement, the following: a physically safe and sanitary environment." 3. ObservationsOn 9/4/24 at 7:09 a.m., a large wooden bench was in front of a door that had an exit sign above it. On 9/9/24 at 7:10 a.m., an affixed fire escape route diagram was on a wall adjacent to the blocked door. The diagram indicated with a red mark that the blocked exit was a fire escape route. On 9/9/24 at 8:08 a.m., the administrator designee (AD) moved the bench to allow access to visitors. 4. Interviews On 9/4/24 at 7:30 a.m., Staff #1 said several residents were "exit seekers" at the residence, and he needed to put the bench in front of the door to stop them from trying to open it. On 9/4/24 at 8:08 a.m., the AD said that Staff #1 had put the bench in front of the door because Residents #6, #8, and #10-#12 would try to open the door, set the alarm off, and wake everyone in the residence. On 9/4/24 at 3:00 p.m., the AD acknowledged that Staff #1 had blocked a fire escape door and that blocking a fire escape route with a large bench was unsafe. On 9/4/24 at 3:07 p.m., the compliance officer acknowledged the door that Staff #1 had blocked with the bench was a fire escape rout..

An initial secure licensure survey, a relicensure survey and licensure complaint revisit was completed on 9/4/24 for the previous deficiencies cited on 6/21/22. A deficiency was cited.The regulations governing Assisted Living Residences were revised, and the new regulations were implemented on 7/1/24. Based on record review, observation, and interviews, the residence failed to maintain a safe environment, either directly or indirectly through a resident agreement, affecting 12 current residents. Findings include:1. Residence Agreement and PolicyThe residence' s Emergency Policies and Procedures, dated 7/2019, read in part: "The (residence) has readily available a roster of current residents, their room assignments, and emergency contact information along with a building diagram showing room locations. A schematic plan of the building or portions thereof placed visibly in a central location and throughout the building, as needed, showing evacuation routes, smoke stop and fire doors, exit doors, and the location of fire extinguishers and fire alarm boxes."The residence' s undated resident agreement read in part: "The (residence) agrees to make available, either directly or indirectly through provider agreement, the following: a physically safe and sanitary environment." 3. ObservationsOn 9/4/24 at 7:09 a.m., a large wooden bench was in front of a door that had an exit sign above it. On 9/9/24 at 7:10 a.m., an affixed fire escape route diagram was on a wall adjacent to the blocked door. The diagram indicated with a red mark that the blocked exit was a fire escape route. On 9/9/24 at 8:08 a.m., the administrator designee (AD) moved the bench to allow access to visitors. 4. Interviews On 9/4/24 at 7:30 a.m., Staff #1 said several residents were "exit seekers" at the residence, and he needed to put the bench in front of the door to stop them from trying to open it. On 9/4/24 at 8:08 a.m., the AD said that Staff #1 had put the bench in front of the door because Residents #6, #8, and #10-#12 would try to open the door, set the alarm off, and wake everyone in the residence. On 9/4/24 at 3:00 p.m., the AD acknowledged that Staff #1 had blocked a fire escape door and that blocking a fire escape route with a large bench was unsafe. On 9/4/24 at 3:07 p.m., the compliance officer acknowledged the door that Staff #1 had blocked with the bench was a fire escape rout..