APOLLO RESIDENTIAL ASSISTED LIVING

Based on documentation review, observation and interview, the manager failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in a bedroom. The deficient practice posed a risk if residents were unable to summon help from personnel members Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. The Compliance Officer observed no bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies in three resident bedrooms. 3. In an interview, E2 reported no bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in several resident's bedroom due to the residents having dementia. 4. In an interview, E1 acknowledged E1 failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in a bedroom.

Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. The deficient practice posed a risk as a disaster plan reinforces and clarifies standards expected of employees. Findings include: 1. A review of facility documentation revealed a disaster plan review conducted on August 10, 2020, and June 19, 2021. However, documentation of a disaster plan reviews in 2022 and 2023 were not available for review. 2. In an interview, E1 acknowledged E1 failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months.