LOVIN TOUCH ASSISTED LIVING

Based on record review and interview, the manager failed to ensure there was a documented residency agreement with the assisted living facility that included whether the manager or a caregiver was awake during nighttime hours, for one of two sampled residents. The deficient practice posed a risk as required information could not be verified.

Findings include:

1. A review of R1's medical record revealed a residency agreement. The residency agreement included a box to be checked if the manager or a caregiver was awake during nighttime hours and another box to be checked if the opposite was true. However, neither of the boxes were checked. The residency agreement did not specify whether the manager or a caregiver was awake during nighttime hours.

2. In an interview, E2 reported the residency agreement did not specify whether the manager or a caregiver was awake during nighttime hours, stating, "We need to check [the box]."

Technical assistance was provided on this rule during the compliance inspection conducted on March 29, 2022.

Based on observation and interview, the manager failed to ensure a resident was not subjected to restraint, for two of two sampled residents.

Findings include:

1. During the environmental inspection of the facility, the Compliance Officers observed R1's bed up against a wall with full length bed rails on the side not against the wall. The Compliance Officers observed the same for R2's bed in R2's room.

2. In an interview, one of the Compliance Officers asked why R2's bed had full bed rails, to which E3 stated, "We put it because [R2] fall off." E3 reported R2 could not lower or remove the bed rails without assistance, stating, "In the morning, I'm the one who take it down for [R2]." When one of the Compliance Officers asked about R1's bed rails, E3 stated, "Same with [R1]." E3 stated the bed rails were there "So [R1] doesn't fall." E2 reported R1 could not lower or remove the bed rails without assistance.

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area inaccessible to residents. The deficient practice posed a risk to residents with access to the poisonous or toxic materials.

Findings include:

1. During the environmental inspection of the facility, the Compliance Officers observed a bottle of laundry detergent on the floor next to a desk in an unlocked office. In the medicine cabinet of an unlocked hall bathroom, the Compliance Officers observed Clorox wipes and Lysol disinfectant spray. In a drawer of a small dresser in another hall bathroom which had been unlocked at the request of one of the Compliance Officers, the Compliance Officers observed two bottles of sparkling water. However, the bottles did not contain sparking water, but instead an unknown substance which smelled of fabric softener.

2. In an interview, E1 reported the office door should have been locked. E3 reported having seen the sparkling water bottles, stating, "Saw them there and I left them there." E2 stated the contents of the sparkling water bottles "smelled like Downy."

Technical assistance was provided on this rule during the compliance inspection conducted on March 29, 2022.