Loving Touch Elderly Assistant Care INC

An initial certification survey was completed on 6/15/23. Deficiencies were cited. Based on interview and record review, the facility failed to maintain personnel files for all staff and volunteers, affecting six current residents. Findings include:During interview at 7:55 a.m., Staff #1 stated that he and his .. Based on observation and interview, the setting failed to ensure individuals had a key or key code to their home, a bedroom door with a lock, and that staff knocked and obtained permission before entering individual bedrooms, affe.. Based on observation and interview, the setting failed to ensure the right to privacy, which includes the right to be free of devices that chime or otherwise alerted others, affecting six current residents. Findings include:1. Door chim.. Based on observation, the setting failed to ensure it did not have institutional features, affecting six current residents. Findings include:The settings had a bookcase located along a wall, adjacent to the dining room. One of th.. Based on record review and interview, the facility failed to allow participants to have a choice of roommate, to have the new individual and the current occupant a chance to meet to determine if they are willing to share a room, and .. Based on record review and interview, the facility failed to ensure the resident agreement provided protections that addressed eviction processes and appeals, comparable to those provided under the jurisdiction' s landlord tenant law... Based on record review and interview, the facility failed to have a policy that divided the 24- hour day into 12-hour blocks, that was disclosed in resident agreements, affecting six current residents. The facility was licensed for twelv.. Based on record review and interview, the setting failed to ensure individuals were able to have visitors of their choosing at any time, affecting six current residentsFindings include:The posted house rules read that visitors were w.. Based on record review and interview, the setting failed to ensure the resident agreement met the regulatory requirements, affecting six current residents.Findings include:1. The regulations require the resident agreement to:- .. Based on record review and interview, the setting failed to train staff on the concept of Person- Centered Support plan and practices, affecting six current residents. Findings include:The personnel files of the administrator and staff.. Based on record review and observation, the setting failed to ensure modifications of an individual' s right was supported by a specific assessed need and justified in the Person- Centered Support plan, and, a rights modification .. Based on record review, observation and interview, the facility failed to provide engagement opportunities, as outlined in 6 CCR 1011-1, Chapter VII, Section 12.19-26, affecting six current residents.Findings include:Regulations g.. Based on record review, observation and interviews, the setting failed to provide opportunities for residents to seek employment and work and engage in community life, affecting six current individuals. There was no evidence .. Based on record review, the setting failed to ensure individuals could eat food in their rooms/unit, and have access to food preparation areas, affecting six current residents.Findings include:The setting' s posted house rules provided rest..

A revisit survey was completed on 6/22/23 for all previous deficiencies cited on 1/9/23. Deficiencies were cited. Based on record review and interview, the residence failed to ensure its quality management program (QMP) was reviewed and approved annually, affecting six current residents. Findings include:This deficiency was cited previously during a state licensure survey completed on 1/9/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.During the previous inspection completed on 1/9/23, there was no evidence found to indicate the QMP had been reviewed and approved on an annual basis. The administrator reported that the QMP had last been reviewed and updated in 2022.During the inspection on 6/15/23, the administrator provide a binder that was to contain QMP d.. Based on record review and interview, the residence failed to have a quality management program (QMP) that improved client safety and wellbeing, affecting six current residents. (Cross- reference Tag 512). During the inspection on 6/15/23, the administrator provided a binder that was to contain QMP documents. However, there was no evidence in the binder to indicate the residence had implemented a QMP. The forms in the binder were blank and not filled out. The administrator stated during interview at 11:16 a.m. that she had been trying to update the QMP. She was asked what projects she was working on to enhance service delivery and she responded that she had lost the drive it was on and provided no other response. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who had current certification in first aid from a nationally recognized organization, affecting six current residents. Findings include:This deficiency was cited previously during a state licensure survey completed on 1/9/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.1. Review of the biweekly time sheets revealed staff #1 and the administrator were the only staff working in the residence. The time sheets read that these two staff worked alone in the residence. 2. The personnel files for the administrator and staff #1 contained CPR certification from the .. Based on record review and interview, the residence failed to maintain written minutes of quarterly resident meetings, affecting six current residents. Findings include: This deficiency was cited previously during a state licensure survey 1/9/23. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Resident #4 stated during interview at 9:45 a.m. that she did not recall if the residence had any resident meetings since January 2023. During interview at 10:00 a.m., Resident #5 stated there had not been any resident meetings, and added that she believed they were not needed. On 6/15/23, the administrator was asked to provide the resident meeting minutes that may have occurred since the pre..

A relicensure survey was completed on 1/9/23. Deficiencies were cited. Based on observation, record review and interview the residence failed to have at least one staff member on-site at all times who had current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting six current residents. (Cross-reference Q732)Findings include:1. References a. According to Mayo Clinic, "Cardiopulmonary resuscitation (CPR) is a lifesaving technique that' s useful in many emergencies, such as a heart attack or near drowning, in which someone' s breathing or heartbeat has stopped. The American Heart Association recommends starting CPR with hard and fast chest compressions. This hands-only CP.. Based on record review and interview, the residence failed to ensure its quality management program (QMP) was reviewed and approved annually, affecting six current residents. Findings include:Chapter II regulations governing health facilities, part 4.1.2, requires a quality management plan to be reviewed and approved on an annual basis, by the administrator or the administrator' s designee. Review of the residence' s quality management program revealed that the last quality management project was October 2015, and read in part: "training and incident reports for falls." Furthermore, no updates to the quality management program had been made, and the program had not been review.. Based on record review and interview, the residence failed to have at least one staff member onsite at all times who had current certification in first aid from a nationally recognized organization, affecting six current residents. (Cross-reference Q0734)Findings include:1. Residence Policya. The residence' s Resident Care policy, dated 5/2014, read in part: "residential staff must have current adult first aid and CPR certifications prior to providing direct care to residents. Adult first aid and CPR certifications must be obtained prior to starting work in a residential facility (and) staff must be recertified every two years ... A copy of current certifications for each residential staff is kept in their .. Based on record review and interview, the residence failed to maintain written minutes of quarterly resident meetings, affecting six current residents. Findings include: On 1/9/23 at approximately 8:00 a.m., the administrator was asked to provide the resident meeting minutes for 2022. The administrator provided a binder that contained resident meetings from 10/20/18 and prior. The binder did not contain any resident meeting documentation for meetings held after 10/20/18. On 1/9/23 at approximately 10:20 a.m., the administrator stated resident meetings had been held since October of 2018, but had not been documented. The administrator stated she was aware of the requ.. 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 7.6.8 The administrator shall be responsible for the overall day-to-day operation of the assisted living residence, including, but not limited to:(I) Completing, maintaining, and submitting all reports and records required by the Department;(J) Complying with all applicable federal, state, and local laws concerning licensure and certification; and