Grandview Gardens

Based on observation and interview, the manager failed to ensure a means of exiting the facility controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed the front door and a door leading from the common area to the backyard and a door in the master bedroom leading to the backyard. The Compliance Officer observed all three doors had a mechanism to alert employees of the egress of a resident from the facility. However, none of the mechanisms were working at the time of the inspection. 2. In an interview, E2 acknowledged the mechanism to alert the staff of a resident leaving the facility was not working.

Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to the physical health and safety of residents with access to unsecured medication. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed in the unlocked caregiver's room medication on the dressers and bed. The medications were "Ibuprofen tablets USP 200 milligrams / MG", "Olmesartan Medoxomil 40 MG", "Metoprolol 50 MG", a bottle of "Trazodone 50 MG", "Propranolol 10MG" and three medication organizers, one for two weeks and two for one week with no names on them. 2. In an interview, E2 acknowledged the caregiver's room was unlocked and the aforementioned medications were not stored in a unit used only for medication storage.

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the facility were stored in a locked area and inaccessible to residents. The deficient practice posed a health and safety risk to residents with access to poisonous or toxic materials. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed "Heavy Cleaner & Degreaser", "Dishwasher Pacs", "Bar Keeper Friend Cleaner", and "Pledge Restore & Shine" stored in the unlocked kitchen cabinet which was accessible to residents. The kitchen cabinet had a locking device installed, but the door was left unlocked at the time of the observation. 2. In an interview, E2 acknowledged the aforementioned poisonous or toxic materials were not stored in a locked location and were accessible to residents at the time of the inspection