Manantial de Vida, LLC.

“Based on record review and interview, the health care institution's chief administrative officer failed to ensure the health care institution established, documented, and implemented tuberculosis infection control activities that included annually providing training and education related to recognizing the signs and symptoms of tuberculosis (TB) to individuals employed by the health care institution, for two of two personnel sampled.  Findings include:  1. A review of E1's personnel record did not include documentation of completed annual training on recognizing the signs and symptoms of TB. Given E1's date of hire, this documentation was required. 2. A review of E2's personnel record did not include documentation of completed annual training on recognizing the signs and symptoms of TB. Given E2's date of hire, this documentation was required. 3. In an interview, E1 reported the personnel records did not include documentation of annual training on recognizing the signs and symptoms of TB and reported E1 was not aware of the requirement. 4. In an exit interview, the findings were reviewed with E1 and E3 and no further information was provided.”

“Based on record review an interview, the manager failed to ensure a personnel record for each employee included documentation of the individual’s qualifications including skills and knowledge applicable to the individual’s job duties and the individuals completed orientation and in-service education required by policies and procedures for one of two personnel sampled. Findings Include: 1. A review of E2’s personnel record revealed documentation of E2’s skills and knowledge were not available for review.  2. A review of E2’s personnel record revealed documentation of E2’s completed orientation was not available for review.  3. In an interview, E1 reported E2’s paperwork must have been replaced. 4. In an exit interview, the findings were reviewed with E1 and E3 and no further information was provided.”

“Based on record review and interview, the manager failed to ensure that a resident had a service plan that was established, documented, and implemented that when initially developed and when updated, was signed and dated by the resident or resident’s representative, the manager, and the nurse who reviewed the service plan for one of two residents sampled.  Findings Include: 1. A review of R2’s medical records revealed a service plan dated March 08, 2026; however, the service plan was not signed by the resident’s representative, the manager, or the nurse. 2. In an interview, E1 reported E1 must have forgotten to send the copy of the service plan to R2's representative to obtain signatures. 3. In an exit interview, the findings were reviewed with E1 and no further information was provided.”

“Based on documention review, record review, and interview, the manager failed to ensure that 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 an assisted living facility, and, if an individual was requesting or expected to receive supervisory care services, personal care, services, or directed care services, 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 a document titled, "Determination for Admission," which stated R1 was to receive personal services. The document was signed by a Registered Nurse, however, the signature was not dated. 2. In an interview, E1 acknowledged R1's "Determination for Admission" form had not been dated when signed by a Registered Nurse.”

“Based on observation and interview, the manager failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area and inaccessible to residents. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed the laundry room was open and unoccupied. Inside the laundry room, the Compliance Officer observed a cabinet above the washing machine had a lock, however, the cabinet had been left open. Inside the cabinet, the Compliance Officer observed bottles of bleach and floor cleaner. 2. In an interview, E1 acknowledged poisonous or toxic materials had not been maintained in labeled containers in a locked area and inaccessible to residents.”