Carefree Assisted Living Center.

“Based on observation and interview, the manager failed to ensure the assisted living facility's license was conspicuously posted. Findings include: 1 . During an inspection at the facility, the Compliance Officers observed the assisted living facility's license was not conspicuously posted. 2 . In an interview, E1 reported the license was moved because of remodeling happening at the home. E1 acknowledged the facility's license was not conspicuously posted at the time of the inspection.”

“Based on record review and interview, the manager failed to ensure before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility, includes if the resident is expected to receive supervisory care, personal care, or directed care services, and includes whether the individual requires continuous medical services, continuous or intermittent nursing services, or restraints. Findings include: 1 . A review of R3's medical record revealed documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility, includes if the resident is expected to receive supervisory care, personal care, or directed care services, and includes whether the individual requires continuous medical services, continuous or intermittent nursing services, or restraints was not available for review at the time of inspection. 2 . In an interview, E1 acknowledged R3's file did not include the aforementioned documentation.”

“Based on record review and interview, the manager failed to ensure caregivers documented the services provided to residents listed in their service plan. Findings include: 1 . A review of R1's medical record revealed a service plan. The service plan reported the resident was encouraged to drink fluids of choice. Further review of R1's medical record revealed an Activities of Daily Living (ADL) sheet for April 2025. However, documentation of caregivers encouraging residents to drink fluids of choice was not available for review at the time of inspection. 2 . A review of R2's medical record revealed a service plan. The service plan reported the resident was encouraged to drink fluids of choice, and R2 would receive physical assistance with bathing twice weekly. Further review of R2's medical record revealed an ADL sheet with no month listed. E1 confirmed the ADL sheet was for the month of April 2025. However, the documentation of caregivers encouraging residents to drink fluids of choice was not available for review at the time of inspection. Further review of the ADL sheet revealed R2 had only one documentation of physical assistance with bathing from April 13, 2025, to April 19, 2025. 3 . In an interview, E1 acknowledged R1's and R2's ADL sheets were missing documentation of services provided.”

“Based on observation, the manager failed to ensure medication stored by an assisted living facility is kept in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. Findings include: 1 . When the Compliance Officers arrived at the facility at approximately 2 PM, they observed the office door was left open. Inside the office, there was a bag with medication sitting on the desk, and a medication pack lying on the floor next to the desk. 2 . In an interview, E1 acknowledged medication was not kept in a locked area.”