North Ranch Assisted Living Home LLC

Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to the physical health and safety of residents with access to the unsecured medication. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed two boxes and two bottle of "Lorazepam 2 mg/ml (milligrams per milliliter) Qty 5", a box of "Morphine Sulfate oral Solution 100 mg per 5 mil" and one bottle of "Morphine 10mg/ml" in the kitchen refrigerator. The refrigerated medications were stored in a self-contained unit used only for medication storage. However, the unit was not locked at the time of the observation. 2. In an interview, E1 acknowledged the medications were not stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.

Based on record review and interview, the manager failed to ensure a personnel record for each employee included documentation of cardiopulmonary resuscitation (CPR) training, for one of two caregivers sampled. The deficient practice posed a risk if E3 were unable to perform CPR. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed E3 working at the facility and providing direct care services to residents at the facility. 2. A review of E3's personnel record revealed E3 was hired December, 2023. E3's personnel record also revealed a CPR training card issued on October 7, 2024 from NationalCPRFoundation. No other documentation of CPR training was available for review for E3 3. A review of the website for NationalCPRFoundation stated "National CPR Foundation... We're a Premium Online Certification Provider for Healthcare Providers, Workplace Individuals and the Community." and that the certification consisted of "[...] ten multiple choice questions that cover all of the important aspects of CPR and AED, it can be completed in a few minutes and may be taken as many times as necessary before you pass." 4. In an interview, E1 acknowledged E3 did not have CPR training from December, 2023 until October 7, 2024 and CPR training cards were from online programs that did not include demonstration of the employee ' s ability to perform cardiopulmonary resuscitation, and documentation of current CPR training, with demonstration, was not available for review.