Senior Wellcare Home.

“Based on record review and interview, the manager failed to ensure that before or at the time of acceptance of an individual, the individual submitted documentation that was dated within 90 calendar days before the individual was accepted by an assisted living facility and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, and was dated and signed by a medical practitioner or a registered nurse. Findings include: 1. A review of R3's medical record revealed a document titled "Pre Admission Determination". The document was not filled out or signed by a medical practitioner or a registered nurse. 2. In an interview, E1 acknowledged R3 had no documentation of whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints.”

“Based on documentation review, record review, and interview, the manager failed to ensure that a resident had a service plan that was completed no later than 14 calendar days after the resident's date of acceptance. Findings include: 1. A review of the facility's policies and procedures revealed a document titled "Service Plan", which stated: "SENIOR WELLCARE HOME develops a written Service Plan for each resident based on an assessment of their needs. The Service Plan is initiated before providing service in cooperation and agreement with the resident/resident's representative. The Service plan will be completed within 14 days of the residents admit by a registered nurse..." 2. A review of R1 and R2's medical records revealed no documentation of a service plan. Based on their date of admission, this would have needed to be completed. 3. In an interview, E1 reported that R1 and R2 did have service plans, but that E1 was not able to provide them during the inspection.”

“Based on record review and interview, the manager failed to ensure that staff obtain a certificate of completion, as specified in R9-10-126, including the minimum eight hours of initial memory care services training. Findings include: 1 . A review of E1 and E2 personnel records revealed no memory care training certificates. 2 . In an interview, E1 reported that E1 and E2 had not yet done memory care training.”