Leisure Times Home LLC

Based on record review and interview, the manager failed to ensure a resident had a written service plan that was initially developed and when updated, was signed and dated by the resident or resident's representative, for one of three sampled residents. The deficient practice posed a risk if the resident or resident's representative were unable to participate in the development or review of the service plan to provide essential information. Findings include: 1. A review of R2's medical record contained a service plan update dated December 6, 2024, for personal care services. The service plan revealed no signature of the resident or the resident's representative to show the service plan was developed with assistance and reviewed by the resident or resident's representative. 2. In an interview, E1 acknowledged the service plan for R2 was not signed to indicate the service plan was developed with assistance of the resident or the resident's representative.

Based on observation, documentation review, and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During the facility tour, the Compliance Officer observed the following in an unlocked laundry room: -A gallon of bleach -A bottle of Lysol 2. In an interview, E1 acknowledged that poisonous or toxic materials stored by the assisted living facility were not maintained in a locked area inaccessible to residents.