Aging With Dignity.

“Based on observation, record, review, documentation review, and interview, the manager failed to ensure a designated caregiver was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility premises. The deficient practice posed a risk as no individual was designated to act on behalf of the governing authority in the onsite management of the assisted living facility.   Findings include:   1. Upon arrival at the facility, the Compliance Officer was greeted by E2. E2 was the only employee at the facility.   2. A documentation review of the manager designation form, revealed that E2 was not listed as an authorized designated manager in the absence of E1. 3. E1 acknowledged, no manager or designee was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility premises.”

“Based on record review, documentation review, and interview, the manager failed to ensure that a resident provided evidence of freedom from infectious Tuberculosis before or within seven calendars after the resident's date of occupancy as specified in R9-10-113. The deficient practice posed a potential TB exposure risk to residents.   Findings include:   1. A record review of R1's medical record revealed, documentation of a TB screening and risk assessment form, was not available for review for R1.   2. A documentation review of the facility's Policies and Procedure titled, "Infection Control" stated, "2. The manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis before or within seven calendar days of the resident's date of occupancy. 3. Employment or admission will be contingent upon compliance with the screening parameters of the policy."   3. In an interview, E1 acknowledged documentation of freedom from infectious Tuberculosis (TB) was not provided for R1.”