Inspection Details
Inspection #
INSP-0054436
Inspection Date(s)
8/15/2024
Status
Complete
Inspection Type
Compliance (Annual)
Worksheet Type
Assisted Living Home
Certificate Number
AL12376H
Location Type
โ
Initial Comments
The following deficiencies were found during the on-site compliance inspection conducted on August 15, 2024:
Statement of Deficiency
2 deficiencies found
Deficiency #1
No Plan
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Rule
F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage;
Evidence
Based on observation and interview, the manager failed to ensure medications stored by the facility were stored in a locked area. The deficient practice posed a health and safety risk to residents with access to the medications. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed an unlocked medication cabinet in the common area. The medication cabinet contained medication for ten residents. 2. In an interview, E1 acknowledged the aforementioned medications were not stored in a locked area and were accessible to residents.
Plan of Correction
Plan of Correction not provided in the inspection report.
Deficiency #2
No Plan
▼
Rule
A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;
Evidence
Plan of Correction
Plan of Correction not provided in the inspection report.