Prestige Home LLC.

“Based on the record review and interview, the manager failed to ensure that the facility had a personnel record for one of four sampled employees. Findings include: 1. A review of R1's medical record contained a document titled "Narcotic Record" dated August 2025, which stated E4 administered R1's oxycodone from August 20, 2025, through August 25, 2025. 2. In a request to review E4's personnel record revealed that there was no personnel record available for E4. 3. In an interview, E1 reported being unaware a personnel record was required for E4, since E4 worked for a few days.”

“Based on record review and interview, the manager failed to ensure, for one of one sampled resident who was unable to ambulate even with assistance, the resident's primary care provider (PCP) or other medical practitioner examined the resident at the onset of the condition or within 30 days before acceptance and at least once every six months throughout the duration of the resident's condition, to determine if the resident's needs could be met based upon a current examination and the assisted living facility's scope of services.  Findings include: 1. In an interview, E1 reported R1 was wheelchair-bound due to an inability to ambulate even with assistance since being accepted to the facility. 2. A review of R1's medical record revealed that R1 required personal care services. The medical record contained a documented determination dated April 3, 2024, indicating R1's needs could be met by the facility despite R1 being unable to ambulate even with assistance. There was no more recent documented determination completed by R1's PCP or a medical practitioner at least every six months throughout the duration of the resident's condition.  3. In an interview, E1 acknowledged that the required documentation for R1 was not completed as required.”

“Based on observation and interview, the manager failed to ensure that poisonous and toxic substances were locked up and secure. The deficient practice posed a significant risk to the health and safety of residents.   Findings include:   1. The Compliance Officer observed that the following substances were in an unlocked cabinet in a bathroom at the facility which was accessible to residents:   - Lysol All Purpose Cleaner - Clorox Disinfectant Wipes - Lysol Disinfectant Spray   2. In an interview, E1 confirmed that the following substances were in an unlocked cabinet in a bathroom and were accessible to residents:   - Lysol All Purpose Cleaner - Clorox Disinfectant Wipes - Lysol Disinfectant Spray”