Mom's Place Assisted Living Home LLC.

“Based on observation, documentation review, and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area and were inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental tour, the Compliance Officers observed glass cleaner, Cascade dishwasher pods, and Purell surface sanitizer in an unlocked cabinet in the kitchen.  2. A review of the facility’s policies and procedures revealed a policy titled "Emergency, Safety, and Environmental Standards”. The policy stated, “Poisonous and toxic materials will be in labeled containers and stored in a locked area separate from food preparation and food storage areas.” 3. In an interview, E1 reported all cabinets were usually locked.  4. In an exit interview, the findings were discussed with E1 and no additional information was provided. 5. This is a repeat deficiency from the inspection dated May 30, 2023.”

“Based on record review and interview, the manager failed to ensure a medication administered to a resident was documented in the resident's medical record, for one of two residents reviewed. The deficient practice posed a risk as medication could not be verified as administered against a medication order. Findings include: 1. A review of R1's medical record revealed a current written service plan dated August 9, 2024. This service plan indicated R1 received medication administration. 2. A review of R1's medical record revealed a signed medication order dated September 20, 2024. This medication order stated "Amlodipine 1 tablet oral 1 times a day (10 MG tablet)". 3. A review of R1's medical record revealed a September 2024 medication administration record (MAR). However, Amlodipine 10 mg was not documented on the September 2024 MAR. 4. In an interview, E1 acknowledged Amlodipine 10 mg was not documented on the MAR for September 20th to present.”

“Based on observation and interview, the manager failed to ensure food stored by the facility was free from spoilage and was safe for human consumption. The deficient practice posed a risk for potential food borne illnesses. Findings include: 1. The Compliance Officer observed bread stored in the pantry with fuzzy green spots that appeared to be mold. 2. In an interview, E1 acknowledged food stored by the facility was not free from spoilage.”

“Based on observation and interview, the manager failed to ensure a resident bathroom contained a window that opened or another means of ventilation. The deficient practice posed a risk to the health and safety of the residents. Findings include: 1. The Compliance Officer observed a private bathroom shared by two residents, did not contain a window or other means of ventilation. 2. In an interview, E1 reported the exhaust fan broken. E1 acknowledged the bathroom did not have a window or other means of ventilation.”