Oakhurst Board and Care

The facility failed to ensure that incontinent residents are kept clean and dry, and that the facility remains free of odors from incontinence. This was evidenced by urine odors in two of the nine resident bedrooms.

The facility failed to ensure that all food is of good quality. This was evidenced by the observation of rotten, moldy cabbage inside the facility refrigerator.

The facility was not clean, safe, sanitary, and in good repair at all times. This was evidenced by the observation of heavily stained facility carpet.

The administrator designated by the licensee must be present during normal working hours. This was not met as the administrator was not observed, and staff were unaware of the administrator's presence.

The facility failed to provide current and valid administrator's certification and correct background clearance documentation in staff files.

Medications were observed stored in non-original containers (weekly pill planners) and an unlocked cabinet in the dining area contained accessible medications.

Medications were observed being kept in weekly pill planners instead of their originally received containers.

Auditory alarms on the exits were observed to be turned off or not in working order, posing an immediate hazard.

The sample of the centrally stored medication log reviewed for resident R1 was not properly completed.

The facility was unable to provide verification of current liability insurance coverage.

The licensee was unable to provide personnel records for review, indicating a failure to maintain required documentation.

Resident R2's records were found without an updated PRN form listing correct medications.

Resident R1's records showed a physician report dated 9/21/2020, which is not current for a resident with dementia.

Hazardous items, including a box cutter/razor in an unlocked kitchen drawer, tools in an unlocked shed, and gardening supplies/cigarette butts outside, were accessible to residents with dementia.

The facility was observed with only one caregiver handling multiple duties (medication questions, tour, bingo, feeding, etc.), indicating insufficient staffing levels.

The facility was not observed maintaining documentation of emergency drills conducted at the facility.

The facility was observed with soiled toilet paper on the floor, a trash can lacking a fitted lid, and brown markings on the back of the bathroom door.

LPA observed debris outside the facility and outside not being maintained.

LPA observed storage shed to be open and accessible which has tools and other hazard items.

LPA observed one medication cabinet to be unlocked and accessible to residents.

One drawer in the kitchen has a razor/box cutter accessible to residents.

Exits of the facility did not have auditory alarms.

Kitchen cabinets are dirty.

One carbon monoxide detector is not working.

The facility did not have an infection control plan available for review.

The facility did not have a liability insurance policy available for review.

The facility did not have a plan of operation available for review.

The facility did not have a plan of operation with dementia available for review.

Current resident roster was not available at the facility for LPA to review.

LPA reviewed resident physician reports and found them to be over a year old and not current.

The facility failed to maintain a record of dosages for centrally stored medications when requested. This is required when the prescribing physician or the Department requests it.

The facility failed to store items like scissors inaccessible to residents with dementia. This poses an immediate danger risk to the residents in care.

The facility lacks an auditory device or staff alert feature to monitor exits. This poses a potential health, safety, or personal rights risk to residents in care.

The facility failed to maintain proper water temperature in the bathrooms and kitchen. This poses an immediate health, safety, or personal rights risk to residents in care.

The facility failed to maintain general safety and repair standards. Specific issues noted include a section of the roof caving in and hazardous cable wires left on the ground, creating a tripping hazard.

Knives were observed unlocked on the kitchen counter at 09:19 AM. Multiple tools were also observed unlocked in the keys and batteries drawer in the kitchen at 09:29 AM.

A tool (wrench) was observed unlocked on the counter in the master bathroom at 09:42 AM, which is accessible to residents.

The fire extinguisher had a service date of 05/13/21, which poses an immediate health and safety risk to the residents.