Joyful Haven Assisted Living Home, LLC.

“Based on documentation review and interview, the manager failed to ensure a training program was developed to include initial training and continued competency training in fall prevention and fall recovery. Findings include: 1 . A review of facility documentation revealed documentation of a training program for fall prevention and fall recovery was not available for review at the time of the inspection. 2 . In an interview, E2 acknowledged documentation of a training program for fall prevention and fall recovery was not available for review.”

“Based on documentation review and interview, the manager failed to ensure policies and procedures were established and documented which covered required skills and knowledge. Findings include: 1 . A review of facility documentation revealed a policy titled "Employees and volunteer qualification." The policy stated, "The hiring person or manager will ensure, check, and document that each caregiver or assistant caregiver providing physical health services or behavioral health services have the required skills and knowledge before providing any services." However, a policy describing how the hiring person would check and document skills and knowledge for a caregiver was not available for review at the time of inspection. 2 . In an interview, E2 acknowledged a policy covering how skills and knowledge are verified and documented was not available for review at the time of inspection.”

“Based on record review and interview, the manager failed to ensure a caregiver's skills and knowledge were verified and documented before the caregiver provided physical health services or behavioral health services, for two of three personnel sampled. The deficient practice posed a risk if the employees were unable to meet a resident's needs. Findings include: 1. A review of E2's and E3's personnel records revealed that documentation of skills and knowledge verified was not available for review at the time of inspection. 2. In an interview, E2 acknowledged E2's and E3's personnel file did not include documentation of verified skills and knowledge.”

“Based on record review and interview, the manager failed to ensure a caregiver received orientation to duties specific to the duties performed by the caregiver, for two of three personnel sampled. Findings include: 1 . A review of E2's personnel record revealed an "Employee Orientation Checklist." However, the documentation was not initialed or completed by the employee or the individual who provided the orientation. 2 . A review of E3's personnel record revealed documentation of orientation conducted was not available for review at the time of inspection. 3 . In an interview, E2 acknowledged that E2's and E3's personnel files did not include completed documentation of orientation.”