Rose Alley Senior Living LLC

Based on record review and interview, the manager failed to ensure caregivers were only assigned to provide the assisted living services the caregiver had the documented skills and knowledge to perform, for one of three caregiver sampled. The deficient practice posed a risk if the caregivers were unable or to meet a resident's needs. Findings include: 1. A review of R2's medical record revealed a service plan dated January 28, 2024 that revealed R2 required catheter care services. 2. In review of the personnel file for E2 there was no documentation to demonstrate E2 had the skills and knowledge of catheter care training. 3. In an interview, E1 reported E2 was trained by E1, and that E2 provided catheter care to R2. However, there was no documented evidence of this training for review.

Based on record review, observation, and interview, the manager failed to ensure a therapeutic diet was provided to a resident according to a written order from the resident's primary care provider or a medical practitioner. Findings include: 1. Review of R1's record revealed a signed doctor's order dated January 28, 2024. This order stated "restriction of fiber." 2. In review of R1's service plan dated February 11, 2024, the plan revealed under the diet section"regular diet." 3. During an interview, E1 acknowledged the found order and revealed restriction was in place for a short time.