Rally, L L C

Based on record review and interview, the manager failed to ensure a residency agreement included whether the manager or a caregiver was awake during nighttime hours, for five of five residents sampled. The deficient practice posed a health and safety risk if a resident was unable to awaken the caregivers during nighttime hours. Findings include: 1. A review of R1, R2, R3, R4, and R5's medical records revealed residency agreements. These residency agreements did not include documentation of whether the manager or a caregiver was awake during nighttime hours. 2. In an interview, E1 reported caregivers are awake at night, however, acknowledged all residency agreements did not include the required information.

Based on record review and interview, the manager failed to ensure the service plan for a resident receiving directed care services included the requirements in R9-10-815(C)(1-5), for two of two directed care residents sampled. Findings include: 1. A review of R1, and R5's medical records revealed documentation of service plans indicating R1, and R5 were receiving directed care services. However, the service plans did not contain the following: - Incontinence care that ensures that a resident maintains the highest practicable level of independence when toileting; - Encouragement to eat meals and snacks. 2. In an interview, E1 acknowledged the service plans did not contain all of the requirements for directed care residents.