Joyful Homes III

The facility failed to ensure that menus were prepared to provide a balanced and nutritious diet, that food was palatable and varied, or that menus were planned one week in advance, followed, posted and kept for 30-days, with variations documented.

The facility failed to train all staff in emergency and evacuation procedures prior to their assuming any job responsibilities.

The facility failed to ensure that the service plan was approved and signed by the resident or a person responsible for the resident's health care decisions, or that it was updated annually and upon a significant change in condition, based upon an assessment of the resident, or that care was provided to the resident based on that assessment.

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

The facility failed to maintain a current printed copy of the plan in a location accessible to all staff, residents, and residents legally authorized representatives at all times.

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

The facility failed to develop and implement a policy to protect residents from vaccine preventable diseases.

The facility failed to provide a safe and decent living environment.

The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

The facility failed to ensure that portable extinguishers were installed or mounted as required.

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

The facility failed to comply with Chapter 33, Existing Residential Board and Care Occupancies.

The facility failed to provide operable windows or powered exhaust that is required for all odor-producing rooms.

The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities.

The facility failed to ensure resident bedroom doors were in compliance with licensing standards for assisted living facilities.

The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.