Lynette's Care Center

Based on observation, record review and interview, the manager failed to ensure that employees were alerted to the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. The Compliance Officer observed an unlocked and unalarmed patio door in R1's room which led to the backyard of the facility. 2. A record revealed that R1 was a directed level resident according to a service plan dated March 8, 2024. 3. In an interview, E1 acknowledged that R1's room had a patio door which led to the backyard that was unlocked and unalarmed. This is a repeat deficiency from the compliance inspection conducted on May 9, 2022.

Based on document review and interview, the manager failed to ensure that the health care institution established, documented and implemented tuberculosis (TB) infection control activities. The deficient practice posed a risk to the health and safety of residents. Findings include: 1. The Compliance Officer reviewed the facilities policies and procedures and found no evidence of the facility establishing and implementing a TB policy in their policies and procedures. 2. In an interview, E1 confirmed that the facility did not have a TB policy section in their policies and procedures.