Windsong Care Assisted Living

Based on observation and interview, the manager failed to ensure that a resident's sleeping area was not used as a passageway to a common area. The deficient practice posed a potential privacy rights violation to the residents. Findings include: 1. The Compliance Officer observed that R1's room served as a passageway to E1's office. There was no other way to enter the office. 2. In an interview, E1 confirmed that R1's room served as a passageway to E1's office and that there was no other way to enter the office.

Based on observation, documentation review and interview, the manager failed to ensure medication was stored in a locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who were unable to self-administer medications. Findings include: 1. The Compliance Officer observed a mediset in a cabinet adjacent to the kitchen and the cabinet was unlocked and unsecured. The mediset was full of unidentifiable medication. 2. Documentation established a policies and procedures section titled "Storage & Control Of Medication". This section had a subsection titled "Stored Medications". A subsection of the "Stored Medications" section contained the following instruction: "All medications stored by the Facility will be maintained in a locked area used only for medications". 3. In an interview, E1 confirmed that a mediset was in a cabinet adjacent to the kitchen and the cabinet was unlocked and unsecured. The mediset was full of unidentifiable medication. E1 also confirmed that documentation established a policies and procedures section titled "Storage & Control Of Medication". This section had a subsection titled "Stored Medications|. A subsection of the "Stored Medications" section contained the following instruction: "All medications stored by the Facility will be maintained in a locked area used only for medications".