Jaxpointe at 63rd Place Assisted Living

A revisit survey was completed on 11/20/24 for all previous deficiencies cited on 7/01/24. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure survey was completed on 7/1/24. Deficiencies were cited. Based on observation and interview, the residence failed to maintain outdated, discontinued, and/or expired medications in a locked storage area until properly disposed of affecting six current residents.Findings include:On 7/1/24 at 7:56 a.m., a tote bag of medications was observed on top of an unlocked medication refrigerator in the office.On 7/1/24 from 7:56 a.m to 8:58 a.m., the office door was left open and the outdated, discontinued, and/or expired medications were left unattended while Staff #1 and #2 provided care to residents. On 7/1/24 at 3:30 p.m., Staff #1 confirmed these medications belonged to former residents and should have been destroyed.On 7/1/24 at 4:1.. Based on observation, interviews and record review, the residence failed to ensure residents' medication administration records (MARs) contained accurate information, affecting two of three sample residents (#1 and #2). Findings include:1. Resident #1 was admitted to the residence on 12/18/22.A written practitioner' s order, dated 5/22/24, directed the residence to administer 500 mg of acetaminophen as needed every six hours for pain. However, the June 2024 MAR did not list acetaminophen as a medication.2. Resident #2 was admitted to the residence on 10/24/22.A written practitioner' s order, dated 11/17/23, directed the residence to administer 10 mg of Donepezil.. Based on record review and interview, the residence failed to have personnel files for current employees onsite and readily available for department review, affecting two of two current staff (#1, #2).Findings include:On 7/1/24 at approximately 11:00 a.m., complete personnel files for Staff #1 and #2 and all CPR certifications for all staff were requested but were not readily available onsite for department review.On 7/1/24 at 11:30 a.m., the administrator stated that the staff files were not readily available as they were currently at the residence' s offsite main office. He stated she had to drive to the main office and gather the personnel files for Staff #1 and #2 and drive back.On 7/1/2.. Based on record review, observation, and interview, the residence failed to have a policy and procedure regarding the timeline of destruction and disposal of outdated, unused, and discontinued and/or expired medications that were not returned to the representative or legal guardian, affecting six current residents who received medication administration services (#1-#6).Findings include:1. Record ReviewThe residence' s Drug Destruction/Disposal of Medications policy read in part: "Take unused, unneeded, or expired drugs out of their original container. Remove, alter, or obliterate information on prescription labels so that the information cannot be read. Place the pills or liquid.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.6.5 "Each administrator shall have completed 40 hours of administrator training before assuming an administrator position. Individuals appointed as an interim administrator shall have completed 40 hours of administrator training within 30 days of appointment. Written proof regarding the successful completion of such training program shall be maintained in the administrator' s personnel file. The 40 hours shall be met by one of the fo..