Holy Name Assisted Living, LLC

Based on documentation review, observation, and interview, the manager failed to ensure that there was a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort that provided access to an outside area that monitored 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. A review of the facility license revealed the facility was authorized to provide directed care services. 2. During an environmental inspection of the facility with E1, the Compliance Officers observed a sliding door leading to the backyard which had an alarm, however, the alarm sound was not turned on. 3. The Compliance Officers observed multiple residents with the ability to ambulate. 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on observation, record review, and interview, the manager failed to ensure that medications were stored in a locked area. The deficient practice posed a risk to residents who were not prescribed the accessible medication. Findings include: 1. During an environmental inspection of the facility with E1, the Compliance Officers observed a tube of Calmoseptine medicated ointment sitting beside the bed of R3. 2. A review of R3's medical record revealed no documentation showing R3 could self-administer medications. 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided

Based on 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 inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental inspection of the facility with E1, the Compliance Officers observed two cans of paint sitting on the floor in a common area of the facility. 2. In an interview, E1 reported the paint was being used for a painting project in the facility's backyard. 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided.

Based on observation and interview, the manager failed to ensure the premises was free from a condition or situation that may cause a resident or other individual to suffer physical injury. The deficient practice posed a risk to the physical health and safety of residents. Findings include: 1. During an environmental tour, the Compliance Officers observed in the back patio, a small potted plant with a large kitchen knife in the soil. 2. The Compliance Officers observed ambulatory residents. 3. In a joint interview, E1 and E2 acknowledged the premises was not free from a condition or situation that may cause a resident or other individual to suffer physical injury.