Golden Swan Manor.

“Based on documentation review, record review, and interview, the manager failed to ensure a manager and a caregiver provided current documentation of first aid training and cardiopulmonary resuscitation (CPR) training certification specific to adults before providing assisted living services to a resident, for two of four sampled personnel. The deficient practice posed a risk if a manager or a caregiver was unable to meet a resident's needs during an emergency. Findings include: 1. A review of facility documentation revealed a policy and procedure titled "Cardiopulmonary Resuscitation and First aid training" which stated: "All managers/ caregivers providing care to residents in the care home must be trained and have a current CPR/ FA card specific to adults... The CPR/ FA card needs to be reviewed every two years." The review further revealed a series of personnel schedules which indicated E1 and E5 worked several shifts per week between February 28, 2024, and April 26, 2024. 2. A review of E1's personnel record revealed E1 was hired as the manager. The review revealed a photocopy of E1's first aid training and CPR training certification dated as expired on February 28, 2024, as well as a printout of E1's current first aid training and CPR training certification dated as issued on April 26, 2024. However, the review revealed E1 did not have current first aid training and CPR training certification for approximately two months. 3. A review of E5's personnel record revealed E5 was hired as a caregiver. The review revealed a photocopy of E5's first aid training certification dated as expired on February 28, 2024, as well as a printout of E5's current first aid training certification dated as issued on April 26, 2024. However, the review revealed E5 did not have current first aid training certification for approximately two months. 4. In an interview, E3 and E4 acknowledged E1 and E5 did not provide current documentation of first aid training and CPR training certification specific to adults before providing assisted living services to a resident. E4 reported E4 had not noticed E1's certification had expired. E4 stated the certifications for E1 and E5 were "two months late."”

“Based on documentation review, observation, and interview, the manager failed to ensure a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort 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 egress of a resident from the facility. Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. During the environmental inspection of the facility, the Compliance Officer observed a door leading from the kitchen to the outdoors. The Compliance Officer observed the door did not have a control installed but did have an alert installed. However, the alert was set to the "OFF" position and did not sound when the Compliance Officer opened the door. 3. In an interview, E1 acknowledged the alert had been turned off.”

“Based on observation, and interview, the manager failed to ensure a resident was treated with dignity, respect, and consideration. The deficient practice posed a risk as residents' rights were violated. Findings include: 1. In observation, upon arrival at the facility, the Compliance Officer (CO) observed nine residents present with two caregivers. 2. Interviews were conducted with R1, R2 R3, O1, and O2, and the following was reported to the CO regarding caregivers E3, E4, and E5: - "They are not courteous, they are rude, all of them, not mannerly..." - "they put residents down... the little things they do... make them feel less than a person, not valuable." - "not treated bad, not treated good, one minute they are nice, the next they aren't, get mad for ringing the call bell to go to the bathroom." - "they reprimand the residents" - "they treat residents like they are children, in a scolding tone." - "they are overworked, tired, frustrated sometimes..." - "E5 yelled at a resident who asked for help getting a telephone number for a funeral home for a friend, and said, "I don't get paid to give telephone numbers.. and so what if he died." 3. During an interview, the findings were reviewed with E1, E2, E3, and E4. E1 acknowledged the findings, and said the residents hadn't expressed concerns to E1. E2 reported the caregivers were very nice and kind.”

“Based on observation and interview, the manager failed to ensure a bathroom which was accessible from a common area contained paper towels in a dispenser or a mechanical hand dryer. The deficient practice posed a potential infection control risk. Findings include: 1. During an environmental inspection, the compliance officer (CO) observed two bathrooms accessible from a common area did not have paper towels available in the bathroom. A guest bathroom provided for the CO had cloth towels hanging, and no paper towels or a mechanical hand dryer. 2. During an interview, the CO provided the findings to E1, E2, and E5, who acknowledged the bathrooms accessible from the common area did not have paper towels in a dispenser or a mechanical hand dryer.”