Ronald Home Care

Based on document review and interview, the manager failed to ensure the policies and procedures were reviewed at least once every three years and updated as needed, Findings include: 1. In document review, the facility's policies and procedures included documentation they were last reviewed in 2020, and required updating. 2. During an interview, E1 reported new policies were added; however, acknowledged the facility's policies and procedures were not reviewed at least once every three years, and updated as needed.

Based on documentation review and interview, the manager failed to ensure an evacuation drill for employees and residents was conducted at least once every six months. The deficient practice posed a health and safety risk to residents and employees, if the employees were unable to implement the evacuation plan. Findings include: 1. In documentation review, the facility had documentation a evacuation drill was last conducted on October 1, 2023. No further documentation of a evacuation drill conducted since October 1, 2023, was provided. 2. During an interview, E1 acknowledged the documentation provided for review did not include documentation a evacuation drill was conducted since October 1, 2023.