Sun View Estates Home Care III.

“Based on record review and interview, the assisted living home failed to maintain a standardized form for each resident that included the information prescribed in subsection A of this section, except for the information prescribed in subsection A, paragraph 1 of this section, which shall be provided at the time the emergency responder was contacted. Findings include: 1 . A review of R1's and R2's medical records revealed that documentation of a maintained standardized form for an emergency responder was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E1, and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that before or at the time of acceptance of an individual, the individual submitted documentation that was dated within 90 calendar days before the individual was accepted by an assisted living facility which included if the individual was expected to receive supervisory care services, personal care services, or directed care services, and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints; and was dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant, for one of two residents sampled. Findings include: 1 . A review of R1's medical record revealed documentation that was dated within 90 calendar days before the individual was accepted by the assisted living facility which included if the individual was expected to receive supervisory care services, personal care services, or directed care services, and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints; and was dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E1, and no additional information was provided. This is a repeat deficiency from the compliance inspection conducted on February 4, 2025.”

“Based on record review and interview, the manager failed to ensure a service plan was reviewed and updated at least once every six months for a resident receiving personal care services. Findings include: 1 . A review of R2's medical record revealed the latest completed service plan dated April 20, 2025. However, documentation of a completed service plan after April 20, 2025 was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure a service plan was reviewed and updated at least once every three months for a resident receiving directed care services. Findings include: 1 . A review of R1's medical record revealed the latest completed service plan dated July 20, 2025. However, documentation of a completed service plan after July 20, 2025 was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were inaccessible to residents. Findings include: 1 . During an environmental inspection of the facility, the Compliance Officer observed an unlocked closet in a resident room bathroom. The closet contained the following: -A can of "Scrubbing Bubbles" bathroom cleaner; -A bottle of "Clorox" cleaner and bleach; -A can of "Lysol" disinfectant spray; and -A bottle of "Kaboom" shower, tub and tile cleaner. 2 . In an exit interview, the findings were discussed with E1, and no additional information was provided.”

“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 2. If an individual is requesting or is expected to receive behavioral health services, other than behavioral care, in addition to supervisory care services, personal care services, or directed care services from an assisted living facility: a. Includes whether the individual requires continuous behavioral health services, and b. Is signed and dated by a behavioral health professional.”

“A. A manager shall ensure that: 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months;”

“Based on record review and interview, the manager failed to ensure before or at the time of acceptance of an individual, the individual submitted documentation dated within 90 calendar days before the individual was accepted by the assisted living facility to indicate whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for one of four sampled residents. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. A review of R2's medical record revealed documentation stating whether R2 required continuous medical services, continuous or intermittent nursing services, or restraints was not available for review at the time of inspection. 2. In an interview, E1 acknowledged R2 had no documentation showing if R2 needed continuous medical services, nursing services, or restraints.”

“Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. The deficient practice posed a risk if facility staff were unable to implement the disaster plan. Findings include: 1. A review of facility documentation revealed documentation of a disaster plan review conducted in 2023. However, an annual disaster plan review conducted in 2024 was not available for review at the time of inspection. 2. In an interview, E1 acknowledged there was no documentation to indicate the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months for 2024.”