WINDSONG CARE ASSISTED LIVING

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".

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.