Helping Hands Senior Living, LLC.

“Based on observation and interview, the manager failed to ensure that medications stored by the facility were stored in a locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a health and safety risk for medications to be stored inappropriately.     Findings Included:     1. During an environmental tour with E2, the Compliance Officers observed medication in the refrigerator door that was not locked. The medications were two boxes of “Insulin Lispro Kwik Pen Injection”     2. In an interview, E1 and E2 acknowledged that medication in the refrigerator was not stored in a locked room, closet, cabinet, or self-contained unit used only for medication storage.  This is a repeat citation from the inspections conducted on November 7, 2024, and February 7, 2025.”

“B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility and: 1. If an individual is requesting or is expected to receive supervisory care services, personal care services, or directed care services: a. Includes whether the individual requires: i. Continuous medical services, ii. Continuous or intermittent nursing services, or iii. Restraints; and b. Is dated and signed by a: i. Physician, ii. Registered nurse practitioner, iii. Registered nurse, or iv. Physician assistant; and”

“B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and”

“F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage;”

“C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 4. Potentially hazardous food is maintained as follows: a. Foods requiring refrigeration are maintained at 41° F or below; and”

“A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;”

“Based on record review and interview, the manager failed to ensure before or at the time of acceptance a resident submitted documentation signed by a medical practitioner or a registered nurse stating whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for one of two residents reviewed accepted by the assisted living facility on or after October 1, 2013. The deficient practice posed a health and safety risk if the facility was unable to meet the needs of the resident. Findings include: 1. A review of R2's medical record revealed documentation stating R2 did not require continuous medical services and continuous or intermittent nursing services. However this document did not mention if the resident required restraints. Based on R2's acceptance date, this documentation was required. 2. A further look into R2's medical record revealed the aforementioned documentation did not have the date signed from a medical practitioner or a registered nurse. 3. In an interview, E3 acknowledged before or at the time of acceptance, R2 did not provide documentation signed and dated by a medical practitioner or a registered nurse stating whether the resident required restraints.”

“Based on record review, observation, and interview, the manager failed to ensure a medication was administered in compliance with a medication order, for one of two residents reviewed. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication. Findings include: 1. A review of R2's medical record revealed a current written service plan which indicated R2 received medication administration. 2. A review of R2's medical record revealed signed medication orders dated August 15, 2024. These medication orders stated the following: - "Atenolol 100 MG One time daily take 1 tablet QD" - "Felodipin ER 2.5 MG One time daily take 1 tablet QD" 3. A review of R2's medical record revealed a November 2024 medication administration record (MAR). This MAR stated the following: - "Atenolol 100 MG One time daily take 1 tablet QD" and indicated the medication was administered at 8 AM November 1st-3rd. The MAR included the caregivers initials with a circle around the initials November 4th-7th. - "Felodipin ER 2.5 MG One time daily take 1 tablet QD" and indicated the medication was administered at 8 AM November 1st-3rd. The MAR included the caregivers initials with a circle around the initials November 4th-7th. 4. The Compliance Officers observed R1's medications, the following was observed: - Atenolol 100 MG was not available. - Felodipin ER 2.5 MG was not available. 5. In an interview, E3 reported they were having issues with the pharmacy with the Atenolol and Felodipin ER and reported the circles around the caregivers initials on the MAR indicated the medications were not available. E3 acknowledged R2's medications were not administered in compliance with the available medication order. 6. This is a repeat deficiency from the compliance inspection conducted July 3, 2023 and June 21, 2022.”

“Based on observation, documentation review, and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were not prescribed the accessible medication. Findings include: 1. The Compliance Officers observed a cabinet that had a locking mechanism. However, the cabinet was unlocked. Inside the cabinet contained the following: - At least three bottles of Polyethylene Glycol 3350 - At least four bottles of Lactulose Solution, USP 10 g/15 mL - At least three bottles of Rugby Chest Congestion Guaifenesin Oral Solution 16 Fl Oz 2. A review of the facility's policies and procedures revealed a policy titled, "VI. Medication Services" which stated, "1. A resident's medication is stored in the facility's secured cabinet," 3. In an interview, E3 acknowledged medications were not stored in a separate locked room, closet, cabinet, or self-contained unit.”

“Based on observation and interview, the manager failed to ensure foods requiring refrigeration were maintained at 41\'b0 F or below. The deficient practice posed a risk for potential food borne illnesses. Findings include: 1. The Compliance Officers observed an opened bottle of Kikkoman Teriyaki sauce in the pantry. This container stated, "Refrigerate after opening". 2. In an interview, E2 and E3 acknowledged the food was stored in the pantry and required refrigeration. 3. This is a repeat deficiency from the compliance inspection conducted July 3, 2023.”

“Based on observation, documentation review, and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. The Compliance Officers observed ambulatory residents in the facility. 2. The Compliance Officers observed Zep Grout Cleaner & Brightener stored inside a cabinet in a shared bathroom. 3. The Compliance Officers observed a spray bottle of glass cleaner in a private bathroom in an empty unlocked resident room. 4. A review of the facility's policies and procedures revealed a policy titled, "X. Security and Safety" which stated, "7. Poisonous and toxic materials stored by the facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents." 5. In an interview, E3 acknowledged toxic materials were not locked in a secured area inaccessible to residents.”