Vesela Assisted Living Home, LLC.

“Based on record review and interview, the manager failed to ensure an assisted living home maintained a standardized form for each resident that included the required information. Findings include: 1. A review of R1's and R2's medical records revealed no documentation of a standardized form to provide to emergency responders. 2. In an interview, E1 reported that caregivers print out documentation as needed for an emergency. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on documentation review and interview, the manager failed to ensure that a quality management plan was implemented for an ongoing quality management program. The deficient practice posed a risk as a quality management program documents the necessary information required to effectively manage services provided. Findings include: 1. A review of facility documents revealed no documentation of a quality management plan. 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure an employee provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113. The deficient practice posed a potential TB exposure risk to residents. Findings include: 1. R9-10-113.A states "If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that...2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1)..."   2. A review of the Centers for Disease Control and Prevention website revealed a web page titled, "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005." The web page stated, "If TST (Mantoux Skin Test) is used for baseline testing, two-step testing is recommended for HCWs (Health Care Workers) whose initial TST results are negative. If the first-step TST result is negative, the second-step TST should be administered 1-3 weeks after the first TST result was read." 3. A review of E2's personnel record revealed a negative TB skin test that was less than 12 months old from E2's date of hire, however, no additional documentation of freedom from infectious TB was available for review.   4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who were unable to self-administer medications. Findings include: 1. During the tour of the facility, the Compliance Officers observed the following unlocked in R3's bedroom: Linzess 145 mcg/capsule four capsules Linzess 72mcg/ capsule four capsules 2. During the tour of the facility, the Compliance Officers observed the following medication unlocked in the kitchen refrigerator: Novolin NPH (insulin isophano) (U-100) 10 mL multiple-dose vial Lantus Solostar 100 units/ML Humulin NPH 100UI/mL ABASAGLAR Insulina 100 U/mL Latanoprost 0.005% eye drops 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure foods requiring refrigeration were maintained at 41° F or below. The deficient practice posed a risk for potential foodborne illnesses. Findings include: 1. During a tour of the facility, the Compliance Officers observed in the kitchen cabinet the follwoing condiments that required refrigeration:  Kroger Soy Sauce 32 FL OZ (1QT) 946ML  Kens Steak House Balsamic Vinaigrette 16 FL OZ (1 PT) 473mL Smucker’s Strawberry Preserves Parmesan Cheese Mama Sita Barbecue Marinade Original Tomato Ketchup 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”