Heart of Compassion Assisted Living

Based on observation, record review, and interview, the manager failed to ensure that a resident or resident's representative consented to photographs of the resident before the resident was photographed, for one of two residents sampled. Findings include: 1. During an environmental tour of the facility, the Compliance Officer observed cameras used in the facility to monitor residents' whereabouts. 2. A review of R1's medical record did not contain a photographic consent form signed by the resident or resident's representative. 3. In an interview, E2 acknowledged R1's medical record did not contain consent to photographs by the resident or resident's representative before R1 was photographed.

Based on record review and interview, the manager failed to ensure the caregiver documented the services provided in the resident's medical record, for one of two residents reviewed. The deficient practice posed a risk as services could not be verified as provided against a service plan. Findings include: 1. A review of R2's medical record revealed a service plan that indicated R2 would receive a shower twice a week. 2. A review of R2's activities of daily living (ADL) documentation for June 2025 indicated that R2 had not received a shower since June 10, 2025. 3. In an interview, R2 reported that R2 was given a shower over the weekend. 4. In an interview, E2 reported R2 received all services per R2’s service plan. E1 acknowledged a caregiver failed to document the services provided in R2's medical record.

Based on observation and interview, the manager failed to ensure that foods requiring refrigeration were maintained at 41° F or below. The deficient practice posed a risk for potential food borne illnesses. Findings include: 1. During an environmental tour of the facility, the Compliance Officer observed the following food products open and stored in the facility’s unrefrigerated pantry: Heinz Oyster Sauce; and Great Value Strawberry Preserves. However, the warning labels on the aforementioned products stated, "Refrigerate after opening." 2. In an interview, E2 reported E2 was unaware the aforementioned food products required refrigeration. E2 acknowledged that the foods requiring refrigeration were not maintained at 41° F or below.