Las Fuentes Assisted Living IV

Based on observation, record review, and interview, for one resident reviewed, who was unable to walk, even with assistance, the manager failed to ensure the resident's primary care provider (PCP) or other medical practitioner (MP) examined the resident at the onset of the condition, and every six months, reviewed the facility's scope of services, and signed and dated a determination stating the resident's needs were being met by the facility. The deficient practice posed a health risk to a resident if a resident's condition was not reviewed by a PCP or MP, to approve a resident's stay at the facility. Findings include: 1. In observation, the surveyor observed R1 in a recliner chair. 2. In an interview, R1 and E3 reported R1 was unable to walk, even with assistance. 3. In record review, R1's medical record included a determination dated October 27, 2022, which indicated R1 was confined to a bed or chair and unable to walk. R1's record did not include a signed and dated determination six months later, documenting the resident's needs were being met by the facility. 4. During an interview, E2 and E7 acknowledged R1's record did not include a signed and dated determination every six months, documenting the resident's needs were being met by the facility.

Based on observation and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area which controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a health and safety risk to residents if a door provided access to an outside area, without alerting employees. Findings include: 1. During an environmental inspection with E3, the compliance officer observed a side door (located by two resident bedrooms) was able to be unlocked from the inside and exited to the back side yard. The door did not alert employees of the egress of a resident from the facility. Another door to the back yard was observed to be unlocked, and had an alarm on the door; however, the alarm was not working, and did not alert employees of the egress of a resident from the facility. 2. During an interview, the findings were reviewed with E2, E3, and E7, who acknowledged the doors providing access to an outside area did not alert employees of the egress of a resident from the facility.

Based on observation and interview, the manager failed to ensure a swimming pool gate was locked when not in use. Findings include: 1. During an environmental inspection with E3, the surveyor observed the swimming pool was not in use, and the gate was unlocked. 2. During an interview, E2 and E3 acknowledged the swimming pool was not in use and was unlocked.