Mary & Pete's Assisted Living.

“Based on record review and interview, the manager accepted and retained a resident who was confined to a bed or chair without meeting the requirements of R9-10-814(B)(2). The deficient practice posed a risk if the facility was unable to meet a resident's needs.       Findings include:        1. R9-10-814(B)(2) states, "A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who is confined to a bed or chair because of an inability to ambulate even with assistance if: the resident's primary care provider... examines the resident... at least once every six months throughout the duration of the resident's condition; reviews the assisted living facility's scope of services; and signs and dates a determination stating that the resident's needs can be met by the assisted living facility..."       2. A review of R2’s medical record revealed a current service plan for directed care services, which indicated R2 was bedbound. Further review of R2’s medical record revealed evidence of documentation indicating R2 was examined by a medical provider per R9-10-814(B)(2), was unavailable for review.         3. In an interview, E1 acknowledged R2 was non-ambulatory and was accepted into the facility in the same condition. E1 acknowledged R2’s medical record did not include the required determination per R9-10-814(B)(2).        4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”