FURAHA CARE HOMES LLC

INSP-0096733

Complete

Date: 12/30/2024

Type: Compliance (Annual)

Worksheet: Assisted Living Home

SOD Sent: 2025-01-02

Summary:

The following deficiencies were found during the on-site compliance inspection conducted on December 30, 2024:

Deficiencies Found: 3

Deficiency #1

Rule/Regulation Violated:

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/Findings:

Based on observation, record review, and interview, the manager failed to ensure that medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.

Findings include:

1. During an environmental inspection of the facility, the Compliance Officer observed a tube of Hydrocortisone cream in an unsecured medicine cabinet in a shared bathroom.

2. In an interview, E1 and E2 acknowledged medication stored by the assisted living facility had not been stored in a separate locked area.

Deficiency #2

Rule/Regulation Violated:

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/Findings:

Based on observation and interview, the manager failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area and inaccessible to residents.

Findings include:

1. During an environmental inspection of the facility, the Compliance Officer observed a cabinet in the kitchen below the counter. The cabinet did not have a lock. Inside the cabinet, the Compliance Officer observed a bottle of, "LA's Totally Awesome Lemon Multi-Surface Degreaser."

2. During an environmental inspection of the facility, the Compliance Officer observed a closet located in the master bathroom did not have a lock. Inside the closet, the Compliance Officer observed a bottle of "Lysol fresh cling gel."

3. In an interview, E1 and E2 acknowledged poisonous or toxic materials had not been maintained in a locked area and inaccessible to residents.

Deficiency #3

Rule/Regulation Violated:

D. A manager shall ensure that:
4. A resident's sleeping area:
b. Is not used as a passageway to a common area, another sleeping area, or common bathroom unless the resident's sleeping area:
i. Was used as a passageway to a common area, another sleeping area, or common bathroom before October 1, 2013; and
ii. Written consent is obtained from the resident or the resident's representative;

Evidence/Findings:

Based on observation and interview, the manager failed to ensure a resident's sleeping area was not used as a passageway to another sleeping area.

Findings include:

1. During the facility tour, the Compliance Officer observed a resident bedroom in the facility, where one resident resided. In the bedroom's bathroom was a walk-in closet which contained a fully made bed and personal belongings.

2. In an interview, E1 confirmed one of the facility's residents resided in the resident bedroom, and reported the closet served as a caregiver's resting area.

3. In an interview, E1 and E2 acknowledged the residents' sleeping area was being used as a passage way to another sleeping area.

Facility Information

Inspection History

INSP-0096733

Summary:

Deficiencies Found: 3

Deficiency #1

Rule/Regulation Violated:

Evidence/Findings:

Deficiency #2

Rule/Regulation Violated:

Evidence/Findings:

Deficiency #3

Rule/Regulation Violated:

Evidence/Findings:

INSP-0096732

Summary: