Serenity Family Care Home #2

The facility failed to ensure that all residents were tested for tuberculosis upon admission. A review of Resident #3's record, admitted on 12/30/20, revealed that no TB test results were available.

The facility failed to maintain clean, safe, and functional walls, ceilings, and floors. Specific issues included peeling spackled ceiling in the dining area and bathroom, a hole in a bedroom door, broken window blinds, and a soft, spongy, and cracked tiled floor in the kitchen.

The facility failed to maintain clean, safe, and functional walls, ceilings, and floors. Specific issues included peeling ceiling spackle in the kitchen and hallway, a hole in a bedroom door, broken window blinds, and a soft, spongy, and cracked tiled floor in the kitchen.

The facility failed to maintain walls, ceilings, and floors in good repair. Observations revealed peeling, sagging, and detached ceiling covering in several areas, water pooling in a shower bath, and a soft, spongy, and broken kitchen floor covering.

The facility failed to maintain walls, ceilings, and floors in a clean and good state of repair. Specific issues included peeling and detached spackled ceiling covering in the kitchen, bathrooms, and halls, water not draining properly in a shower bath, and damaged, spongy floor covering in the kitchen.

The facility failed to ensure a current Environmental Health Sanitation Inspection was completed annually and available for review. The most recent inspection report available was dated 08/29/22, which documented several unresolved maintenance demerits.

The facility failed to ensure that exit doors were equipped with a sounding device to alert staff when opened for a resident known to be disoriented. Specifically, no audible alarm was activated on 4 of 4 sampled exits, including the main front door, back exit, and two doors in Resident #4's bedroom.

The facility failed to ensure that exit doors were equipped with a sounding device to alert staff when opened. Specifically, no audible alarm was activated when the main front and back-exit doors were opened, which is required for residents identified as disoriented or wanderers.

The facility failed to ensure that a resident was notified of their discharge and appeal rights at least 30 days prior to the discharge date. Specifically, for Resident #4, the notice of discharge was provided only approximately 30 days before the intended transfer, and the documentation showed a discrepancy between the notice date and the actual discharge date.

The facility failed to ensure that one of two sampled residents was notified of their discharge and appeal rights at least 30 days prior to discharge. Specifically, Resident #4 was transferred without proper notice, and the resident was unaware of the discharge, even reporting that his family was not notified of the change in residence.