Portobello Assisted Living Home LLC.

“Based on documentation review and interview, the manager failed to ensure that policies and procedures for medication administration were reviewed and approved by a medical practitioner, registered nurse, or pharmacist. Findings include: 1. A review of the facility's policies and procedures revealed policies on medication administration. However, documentation of a review by a medical practitioner, registered nurse, or pharmacist was not available. 2. In an interview, E2 reported the signature of approval was misplaced when updating the facility's policies. E2 acknowledged that policies and procedures for medication administration were not reviewed and approved by a medical practitioner, registered nurse or pharmacist.”

“Based on observation and interview, the manager failed to ensure the premises and equipment used at the assisted living facility were free from a condition or situation that may cause a resident or other individual to suffer physical injury. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officers observed debris and a trailer that blocked the evacuation pathway. 2 . During an environmental inspection of the facility, the Compliance Officers observed ambulatory residents in the facility. 3 . In an exit interview, the findings were reviewed with E2 and no additional information was provided.”