Next Genesis INC, the

Based on documentation review, observation, and interview, the manager failed to ensure that there was a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort that provided access to an outside area that monitored or alerted employees of the egress of a resident from the facility. Findings include: 1. A review of the facility license revealed the facility was licensed at the directed care level. 2. The Compliance Officer observed ambulatory residents. 3. During the environmental inspection of the facility, the Compliance Officer observed two resident rooms with sliding doors that lead to the back yard. These doors could be opened, but no alarms sounded. 4. In an interview, E1 acknowledged that the doors did not have alerts installed. 5. This is a repeat deficiency from the compliance inspection conducted on September 25, 2024.

Based on observation and interview, the manager failed to ensure medications stored by the facility were stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who could access the medication. Findings include: 1. During an environmental inspection of the facility with E3, the Compliance Officer observed an unlocked food pantry. Inside the food pantry, was an unlocked cabinet that held the residents' medications. 2. The Compliance Officer observed a caregiver cooking during the time of the inspection and was not passing medication. 3. In an interview, E3 acknowledged medications were stored in an unlocked manner, and accessible to residents.

Based on documentation review, observation, and interview, the manager failed to ensure the means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort, controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if staff were unaware of the egress of a resident from the facility. Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. During the environmental inspection of the facility, the Compliance Officer observed an alert and control on the front door and an alert on the door leading to the backyard. However, the alerts were not turned on, and the control was not locked. 3. In an interview, E3 acknowledged the front and back door had no functioning control or alert and stated the battery was low.