Kaydies Assisted Living Home LLC.

“Based on record review, observation, documentation review, and interview, the manager failed to ensure a caregiver provided a resident with the assisted living services in the resident's service plan and documented the services provided in the resident's medical record, for one of two sampled residents. The deficient practice posed a risk to the residents, if services were not provided according to the residents' service plans. Findings include: 1. A review of R2's medical record revealed a service plan dated December 31, 2024, which reflected that R2 would be provided the following assistance with nail care: check fingernails daily, trim nails as need, and check nails after each complete bath and clean as needed. A review of R2’s “Activities of Daily Living Flowsheet” dated March 2025 reflected R2 was provided “Hand Nail Care” from March 1, 2025, through March 10, 2025. There was no documentation of R2’s refusal of nail care. 2. The compliance officer observed R2’s nails, and R2’s nails appeared to be a 1/2 inch long. E1 was observed trimming R2’s right hand nails. 3. In an interview, R2 reported being unaware of the last time R2’s nails were trimmed. R2 expressed that R2 would like nails to be trimmed. 4. In an interview, E1 reported R2 refused to have R2’s nails trimmed. E1 acknowledged R2 was not provided assistance with trimming of nails, and trimming of nails was not a service provided by the facility.”

“Based on documentation review, observation, and interview, the manager failed to ensure for a facility authorized to provide directed care services, there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort and provided access to an outside area which allowed the resident to be at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility.   Findings include:   1. A review of the Department's documentation revealed the facility was authorized to provide directed care services.   2. During a facility tour with E2, the surveyor observed when exiting from the patio door to the backyard, no alarm sounded to alert employees of the egress of a resident from the facility. There was also no way to control a resident's egress from the facility.   3. In an interview, E1 acknowledged the patio door did not alert employees of the egress of a resident from the facility. E2 reported the glass of the patio door with the alarm attached had shattered and the replacement would be in the next day.”

“Based on record review and interview, the manager failed to ensure a medication was administered in compliance with a medication order, for one of two sampled residents.   Findings include: 1 A review of R1's service plans reflected that R1 received medication administration services. 2. A review of R1's medical record revealed a medication order dated July 25, 2024, for "Norvasc 5mg once daily hold if systolic blood pressure under 120". 3. A review of R1's medical record revealed a medication administration record (MAR) dated March 2025. The August 2022 MAR reflected that Norvasc was administered from March 1, 2025, through March 10, 2025, at 8 am. However, R1's blood pressure was documented as being taken from 9 am to 9:30 am, not before R1’s Norvasc was administered. 4 In an interview, E1 acknowledged R1's Norvasc medication was not administered according to R1's medication order.”