Orange Grove Senior Care LLC.

“Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area which allowed a resident to be at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. During an environmental inspection of the facility, the Compliance Officer observed an exit door in the north hallway had a door alarm, however, however, the alarm was not functioning. 3. In an interview, E1 acknowledged there was a means of exiting the facility to an outside area allowing a resident to be at least 30 feet away from the facility which did not control or alert employees of the egress of a resident from the facility.”

“Based on record review and interview, the manager failed to ensure medication administered to a resident was administered in compliance with a medication order, for one of two sampled residents. Findings include: 1. A review of R1's medical record revealed a service plan, updated April 11, 2024, for directed care services, including medication administration. 2. A review of R1's medical record revealed an order, dated February 19, 2024 , for "Metoprolol Tartrate 25 MG Oral Tablet 0.5 tab po bid, hold for systolic bp< 110 or pulse < 60." 3. A review of R1's medical record revealed a medication administration record (MAR) dated May 2024. The MAR indicated, "Metoprolol 25 mg 1 tab, give 1/2 tab P.O. BID hold for BP < 110 or HR”