Northwood Glen Assisted Living, LLC.

“Based on record review and interview, the manager failed to ensure the facility did not accept or retain a resident who was confined to a bed or chair because of an inability to ambulate even with assistance, unless the facility obtained a written determination from a medical practitioner, every six months, that stated the resident's needs could be met by the facility and the resident's needs were within the facility's scope of services, for one of two residents reviewed who was confined to a bed or chair. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. In an interview, E1 reported that R1 was non-ambulatory and received directed care services.  2. A review of R1's medical record revealed a service plan dated February 7, 2025. The service plan stated that R1 was bedbound. 3. A review of R1's medical record revealed a written determination from R1's medical practitioner signed and dated July 26, 2024. However, documentation was not available that stated R1's needs could be met by the facility and R1's needs were within the facility's scope of services, at least once every six months. 4. In an interview, E1 acknowledged that R1's medical practitioner did not provide a written determination at least once every six months.”

“Based on observation and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area from which a resident could exit to a location at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. The Compliance Officer observed multiple ambulatory residents. 3. During the environmental tour, the Compliance Officer observed doors leading out to the patio area from the facility did not control or alert employees to the egress of a resident to the outside area. 4. In an interview, E1 acknowledged there were means of exiting the facility to an outside area that did not control or alert employees of the egress of a resident from the facility.”