Harvard House of Care 2 LLC.

“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 R1's medical record revealed no documentation was available for review verifying if R1 required continuous medical services, continuous or intermittent nursing services, or restraints; dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant. 2. In an interview, E1 acknowledged R1 did not submit documentation signed by a medical practitioner or a registered nurse that stated whether the R1 required continuous medical services, continuous or intermittent nursing services, or restraints dated within 90 days before R1 was accepted by the facility.”

“Based on observation and interview, the manager did not ensure poisonous or toxic materials stored by the assisted living facility was inaccessible to residents. Findings include: 1 . During an environmental inspection, the Compliance Officer observed the following items on a shelf in a bathroom accessible by residents: "Dream Bright - Bath and Body Works - Fine Fragrance Spray"; "Febreze Air Mist - Hawaiian Aloha"; and "Great Scents Air Freshener - 5 in 1". 2 . During an interview, E4 acknowledged poisonous or toxic materials stored by the assisted living facility was accessible to residents.”