Obsidian Homes Ral

Based on record review and interview, the manager failed to ensure the facility did not retain a resident who was confined to a bed or chair without meeting the requirements of R9-10-814(B)(2), for one of three residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. A review of R1's medical record revealed the following: A current written service plan dated July 1, 2025. The service plan indicated that R1 was bedbound. A document “Initial Physician Recommendation Form” dated 1/1/2025 and signed by E3. No documentation indicating R1's medical practitioner examined R1 upon acceptance and every six months thereafter, signed and dated a determination that stated R1's needs could be met by the facility, and reviewed the facility's scope of services was available. 2. In an interview, E3 acknowledged that R1 was non-ambulatory and did not have the required documentation. 3. In an exit interview, the findings were reviewed with E2, and no additional information was provided.

Based on observation and interview, the manager failed to ensure that toxic materials were stored in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed an open shelf at the end of the kitchen. The Compliance Officer observed “Great Value Bleach,” “Clorox Disinfectant Wipes - Lemon,” and “Windex - Glass Cleaner.” 2. In an interview, E2 acknowledged that cleaning supplies were not locked up. 3. In an exit interview, the findings were reviewed with E2, and no additional information was provided.