Reach Supported Living LLC

The provider failed to implement policies and procedures to ensure prompt medical attention, pain relief, and timely notification of the client's representative after an ankle injury was identified. The injury was identified on 04/28/2026, medical evaluation occurred on 04/29/2026, and prescribed as-needed pain medication was not administered until 05/01/2026.

The provider failed to ensure the client's required bed alarm was functioning and implemented as specified in the client's support plan, placing the client at risk of falling and injury.

The investigation summaries identified a failure to carry out the client's plan of care and provider responsibilities related to an injury involving improper use of a medical assistive device.

The provider failed to revise or change Client 1's habilitative goals when goals were achieved or ineffective. Goals documented from May 2022 through May 2026 remained substantially unchanged; two of three goals were reportedly met by April 2026 but were not revised.

Provider failed to retain receipts for purchases over twenty-five dollars for Client 3, placing the client at risk of mishandling funds.

Provider failed to ensure Staff I maintained required 12 hours of continuing education (CE) for 2025; this is an uncorrected deficiency previously cited on 12/18/2025.

Staff failed to follow the medication order for Thick-it, failed to provide it as directed, and failed to document the client's refusal or have a refusal plan in place.

Provider failed to ensure nurse-delegated staff were available to meet Client 1's needs and failed to ensure accuracy of Client 1's seizure protocols, resulting in unmet needs and risk of harm.

Provider failed to implement the Individual Instruction and Support Plan (IISP) for Client 1, resulting in the client falling and sustaining a head injury.

Provider failed to update the IISP for a client who required two-person assistance for walking, toileting, and showering. This oversight led to a fall and injury when adequate staff was not provided.

Broken bathroom wall tiles at a client's home created a sharp hazard that was not repaired for two months.

Provider failed to provide health services support to three of five clients. Issues included missing/unclear bowel protocols, missing monthly bowel/blood pressure documentation, and discrepancies between MARs and medical protocols.

Provider failed to ensure current Bloodborne Pathogens training for one of five sampled staff (Staff B).

Provider failed to reconcile and verify bank/cash accounts for three of five clients. Signers on accounts also performed the reconciliations.

Provider failed to accurately reconcile spending cash accounts for one client, resulting in ledger errors.

Provider failed to ensure medications were monitored per physician's orders for two clients, putting them at risk for health complications.