Golden Summers Care Home of Moon Valley LLC

Based on record review, documentation review and interview, the manager retained a resident confined to a bed or chair without meeting the requirements in R9-10-814.B.2.a.b.i-iii., including documentation of the resident's or the resident's representative's request the resident remain in the facility; documentation to demonstrate the resident's primary care provider or other medical practitioner examined the resident at least once every six months throughout the duration of the resident's condition; reviewed the facility's scope of services; and signed and dated a determination stating the resident's needs were being met at the facility. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. A Department review of the facility's license revealed, the facility was authorized to provide Supervisory, Personal, and Directed Care services. 2. A Department review of R9-10-814.B.2.a.b.i-iii. stated, "A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who is confined to a bed or chair because of an inability to ambulate even with assistance if: 1. The condition is a result of short-term illness or injury; or the following requirements are met at the onset of the condition or when the resident is accepted by the assisted living facility: a. the resident's representative request the resident remain in the facility; b. the resident's primary care provider or other medical practitioner examined the resident at least once every six months throughout the duration of the resident's condition; reviewed the facility's scope of services; and signed and dated a determination stating the resident's needs were being met at the facility." 3. A record review of R4's service plan stated, "Bed bound or wheelchair if out of bed." A "Determination and Authorization for Continued Residency" form was last signed on May 21, 2024. 4. In an interview, E1 acknowledged that the manager failed to obtain documentation to demonstrate R4's primary care provider or other medical practitioner examined the bedbound resident at least once every six months throughout the duration of the resident's condition.