Gardens Care Homes - Quaker Acres, the

A revisit survey was completed on 9/13/24 for all previous deficiencies cited on 4/22/24. 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 relicensure survey was completed on 4/22/24. Deficiencies were cited. Based on interview and record review the residence failed to develop and implement an involuntary discharge grievance policy affecting seven current residents.Findings include:1. Residence PolicyThe residence' s Admission and Discharge policy was not dated and read in part: "A resident may be discharged from the facility only for one or more of the following reasons: When the facility cannot protect the resident from harming him or herself or others. .. Based on interview and record review the residence failed to ensure each staff member received orientation and training prior to providing any care or services to a resident for two of two contracted staff, affecting seven current residents. (Cross-reference S1142 and S1150)Findings include:1. Residence Policy The residence' s Education and Training policy, dated July 2019, read in part: "This community ensures that each staff member and volunteer who pr.. Based on observation interview and record review the residence failed to ensure care plans detailed specific personal service needs and preferences along with the staff tasks necessary to meet those needs; affecting two of three sample residents (#1, #3). (Cross-reference S0640)Findings include:1. Residence PolicyThe residence' s care plan policy dated July 2019, read in part:"A written care plan will be developed and implemented for each resident in order to monitor.. Based on observation interview and record review the residence failed to ensure comprehensive assessments contained health and physical functioning ability affecting two of three sample residents (#1, #3). (Cross-reference S0640)Findings include:1. Residence PolicyThe residence' s Comprehensive Resident Assessment policy, dated July 2019, read in part: "This community accepts only those persons whose needs can be fully met by the existing staff, p.. Based on observation, interview and record review, the residence failed to ensure there was at least one staff member on-site at all times who had current certification in cardiopulmonary resuscitation (CPR) from a nationally recognized organization affecting seven current residents. Findings include:1. Residence Policy The residence' s Emergency and First Aid policy, dated July 2019, read in part: "The community has at least one staff member onsite at all times who.. Based on observation, interview and record review, the residence failed to ensure there was at least one staff member on-site at all times who had current certification in first aid from a nationally recognized organization affecting seven current residents. Findings include:1. Residence Policy The residence' s Emergency and First Aid policy, dated July 2019 , read in part: "There is at least one staff member onsite at all times who has current certification in First Aid from a.. 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 7.14.15 The assisted living residence shall ensure each resident ' s right to privacy and dignity with respect to medication monitoring and administration.21.1 The assisted living residence grounds shall be kept fre..