Las Fuentes Resort Village

Based on record review and interview, the manager failed to ensure that before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency. Findings include: 1. A review of E1’s personnel record revealed an expired Cardiopulmonary Resuscitation (CPR) training certificate with a renewal date of September 20, 2024. 2. In an interview, E5 acknowledged E1 had an expired CPR certification.

Based on record review and interview the manager failed to ensure that a resident had a written service plan that was reviewed and updated at least once every three months for a resident receiving directed care services. Findings include: 1. A review of R3’s medical record revealed a Service Plan dated October 2023, for a change in level of care from Personal care to Directed care. However, the reviewed service plans after October 2023 were dated; April 2024, October 2024, November 2024 and April 2025.  2. In an interview, E5 acknowledged that the service plans for R3 were not reviewed every three months for a member receiving directed care services.

Based on observation and interview the manager failed to ensure an assisted living facility maintains residents' medical records electronically, with safeguards to prevent unauthorized access. Findings include: 1. During the environmental tour of the facility the Compliance Officers were able to access the lap top computer, on top of the medication cart, which revealed confidential resident information. 2. In an interview, E5 acknowledged that the assisted living facility did not secure medical records for residents.