Metropolitan Assisted Living LLC.

“Based on the record review and interview, the manager failed to ensure that a caregiver's skills and knowledge were verified and documented before the caregiver provided physical health services for two of two caregivers sampled. The deficient practice posed a risk if the employees did not have the skills and knowledge required to ensure the health and safety of residents.     Findings include:     1. A review of E2's and E3’s personnel records revealed no documented verification of E2's and E3's skills and knowledge.     2. In an interview, E1 acknowledged E2’s and E3’s personnel records did not include documented verification of skills and knowledge at the time of the survey.”

“Based on record review and interview, the manager failed to ensure a resident accepted by the assisted living facility submitted documentation signed by a medical practitioner or a registered nurse that stated whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for one of two residents reviewed. The deficient practice posed a risk if the facility was unable to meet a resident's needs.     Findings include:     1. A review of R2's medical records revealed no documentation that stated whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints. Based on R2's acceptance dates, this documentation was required.      2. In an interview, E1 acknowledged R2’s medical record did not contain documentation that stated whether R2 required continuous medical services, continuous or intermittent nursing services, or restraints.”