Golden Horizon

A relicensure survey was completed on 2/9/23. Deficiencies were cited. Based on observation and interview the residence failed to have a fire resistant waste disposal container in the designated outdoor smoking area, affecting 13 current residents. (Cross-reference Q2516)Findings include:On 2/9/23 at 8:33 a,m., an environmental tour of the residence' s outdoor smoking area revealed metal coffee cans were being utilized for cigarette disposal. On 2/9/23 at 3:50 p.m., the director of nursing stated that he was not aware that the residence could not use metal coffee cans for cigarette disposal. He acknowledged that the smoking area did not have a fire resistant cigarette disposal container. Based on observation and interview, the residence failed to ensure a list of all staff who had current certification in first aid and/or CPR was placed in a visible location, affecting 13 current residents. Findings include:On 2/9/23 at 1:22 p.m., the director of nursing (DON) was asked to identify where the list of First aid/CPR certified staff was located,.. TOn 2/9/23 at 1:22 p.m. the DON stated that no list was posted. He said he was not aware a list of certified first aid/CPR staff was supposed to be visible and readily available to staff at all times. Based on observation and interview, the residence failed to ensure rooms occupied by smokers had fire resistant wastebaskets, affecting ten of ten residents who were identified as smokers (#4 - #13). Findings include: On 2/9/23 at 10:40 a.m., an environmental tour of the bedrooms of residents #4 - #13 revealed that none of the waste baskets in the resident' s rooms were fire resistant. On 2/9/23 at approximately 4:00 p.m., the resident care coordinator stated she was not aware that residents who were smokers were required to have special fire resistant waste baskets. She and the director of nursing, both stated that none of the wastebaskets were fire resistant. Based on observation, record review and interview, the residence failed to have personnel files for current employees available on site for Department review, affecting three of three sample staff (#1, #2, #3).Findings include:Chapter VII regulations governing assisted living residences, 2.45, defines "Staff" as employees and contracted individuals intended to substitute for or supplement employees who provide personal services. "Staff" does not include individuals providing external services. Chapter VII regulations governing assisted living residences, 7.12, each personnel file shall include, but not be limited to, written documentation regarding the following items: (A) A description of the employee or volunteer duties; (B) Date of hire or acceptance of volunteer service and date duties commenced; (C) Orientation an..