Harvest Assisted Living, LLC

Based on record review and interview, the manager failed to ensure that a resident had a written service plan completed no later than 14 calendar days after the resident's date of acceptance. Findings include: 1. A review of R3's medical record revealed a blank service plan with only the manager/designee area signed. Based on the resident's date of acceptance, this documentation was required. 2. In an interview, E1 reported that they did complete a service plan for R3, but were not able to find it at the time of the inspection. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on record review and interview, the manager failed to ensure services provided were documented in the resident's medical record. Findings include: 1. A review of R3's medical record revealed a blank service plan with only the manager's signature. 2. A review of R3's activities of daily living revealed various services, such as: bathing, brush/comb hair, brush teeth, dress, foot care, incontinence, and night checks. Further review revealed no documentation of the services mentioned above for January 26, 2026 being provided. 3. In an interview, E2 reported that services were not done since the patient refused. However, there was no documentation of the resident refusing services. 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on documentation review, observation, and interview, the manager failed to ensure that poisonous or toxic materials stored by the assisted living facility were maintained in a locked area and were inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental tour of the facility, the Compliance Officer observed the following toxic materials stored in an unlocked cabinet under the kitchen sink: Kirkland Dishwasher Tabs; Dawn Power Wash; and Palmolive Dish Soap. 2. In an interview, E1 acknowledged the toxic materials stored by the facility were not maintained in a locked area and were not inaccessible to residents.

Based on documentation review, record review and interview, the health care institution’s chief administrative officer failed to ensure training and education related to recognizing the signs and symptoms of tuberculosis (TB) was provided annually to individuals employed to the health care institution, for one of two personnel sampled. The deficient practice posed a potential illness risk to residents. Findings include: 1. A review of the facility's personnel schedule revealed E4 was scheduled to work and provide services at the facility March 1, 2025 - present. 2. A review of E4's personnel record did not include documentation of initial training on recognizing the signs and symptoms of TB. 3. In an interview, E1 acknowledged E4's personnel record did not contain documentation of training on recognizing the signs and symptoms of TB.

Based on documentation review, record review, and interview, the manager failed to ensure that a caregiver's skills and knowledge were verified and documented before the caregiver provided health services for one of two personnel sampled. The deficient practice posed a risk if a personnel member was unable to meet a resident's needs. Findings include: 1. A review of the facility's personnel schedule revealed E4 was scheduled to work and provide services at the facility March 1, 2025 - present. 2. A review of E4's personnel record did not include documentation of the facility's verification of E4's skills and knowledge. 3. In an interview E2 reported E4 had not provided services at the facility as of March 3, 2025. However, R1 reported E4 has provided services to R1 while R1 has been a resident of the facility. 4. In an interview, E1 acknowledged E4's personnel record did not include documentation of the facility's verification of E4's skills and knowledge before E4 provided services at the facility.

Based on documentation review, record review, and interview, the manager failed to ensure that a caregiver received orientation that was specific to the duties to be performed by the caregiver before providing assisted services to a resident, for one of two personnel sampled. The deficient practice posed a risk if the employees were unable to meet residents’ needs Findings include: 1. A review of the facility's personnel schedule revealed E4 was scheduled to work and provide services at the facility March 1, 2025 - present. 2. A review of E4's personnel record did not include documentation of E4's completed orientation. 3. In an interview E2 reported E4 had not provided services at the facility as of March 3, 2025. However, R1 reported E4 has provided services to R1 while R1 has been a resident of the facility. 4. In an interview, E1 acknowledged E4's personnel record did not include documentation of E4's completed orientation before E4 provided services at the facility.

Based on observation and interview, the manager failed to ensure that medication stored by the facility 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 residents who were unable to self-administer medications. Findings include: 1. During an environmental tour of the facility, the Compliance Officer observed an unlocked closet in the facility's hallway with a box placed on the shelf. 2. In an interview, E3 reported the box contained extra residents' medications. 3. During an environmental tour of the facility, the Compliance Officer observed the facility's medication storage cabinet to be equipped with a magnetic lock. However, at the time of inspection, the cabinets were left unlocked and the facility's personnel were unable to locate the magnet key. 4. In an interview, E1 acknowledged the facility's stored medications were not stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.

Based on documentation review, record review, and interview, the health care institution failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training for one of two personnel sampled. The deficient practice posed a health and safety risk for residents. Findings include: 1. A review of the facility's personnel schedule revealed E4 was scheduled to work and provide services at the facility March 1, 2025 - present. 2. A review of E4’s personnel record did not include documentation of completed initial training on fall prevention and fall recovery. 3. In an interview E2 reported E4 had not provided services at the facility as of March 3, 2025. However, R1 reported that E4 had provided services to R1 while R1 has been a resident of the facility. 4. In an interview, E1 acknowledged the facility failed to administer a training program for all staff regarding fall prevention and fall recovery that included initial and continued competency training.