Gifts of Grace Assisted Living Homes.

“Based on observation, documentation review, and interview, the manager failed to ensure there were policies and procedures that cover methods by which the assisted living facility is aware of the general or specific whereabouts of a resident.    Findings include: 1. The facility was licensed for Directed Care. 2. Compliance officers observed ambulatory residents. 3. A review of facility Policy and Procedures, July 2016, revealed that there was no policy to address the whereabouts of residents. 4. In an interview, E1 acknowledged that there were no policies and procedures that cover methods by which the assisted living facility is aware of the general or specific whereabouts of a resident.”

“Based on observation and interview, the manager failed to ensure that a bell, intercom, or other mechanical means to alert employees to a resident’s needs or emergencies is available in a bedroom being used by a resident receiving directed care services for three of nine residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1.The facility is licensed for Directed Care 2. During the environmental tour the Compliance Officers observed three of nine residents that did not have a means to alert employees of their needs or emergencies while in bed. 3. In an interview, E1 acknowledged that a bell, intercom, or other mechanical means to alert employees to a resident’s needs or emergencies is available in a bedroom being used by a resident receiving directed care services.”

“Based on observation and interview the manager failed to ensure there was a means of exiting the facility to control or alert employees of the egress of a resident from the facility for four of four doors. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. Facility is licensed for Directed Care 2. Compliance officers observed ambulatory residents within the facility. 3. Compliance officers observed the following: -The front entry door had an alarm that was turned off -R1 had a door in their bedroom that led to the outside and the alarm was turned off -R2 had a door in their bedroom that led to the outside and the alarm was turned off -A door leading to the backyard had the alarm turned off and the batteries were not functioning. 4. In an interview, E1 acknowledged that these exits did not alert employees of the egress of a resident from the facility.”

“Based on observation, documentation review, and interview, the manager failed to ensure that oxygen containers were secured. The deficient practice posed a potential explosion or leak of a compressed gas. Findings include: 1. During the facility inspection, the Compliance Officers observed oxygen tanks in the living room closet that were not secured. 2. A review of facility policy and procedure revealed a policy titled "Environmental Safety" which stated, "A manager shall ensure that oxygen containers are secured in an upright position". 3. In an interview, E1 acknowledged that there were Oxygen tanks stored and not secured.”