Bluegarden Care.

“Based on observation, the licensee did not comply with the section cited above in centerally stored medications being unlocked which posed an immediate safety risk to persons in care. POC Due Date: 04/30/2026 Plan of Correction 1 2 3 4 Staff locked and secured medications POC clear”

“Based on observation, the licensee did not comply with the section cited above in having cleaners and knives unlocked which posed an immediate safety risk to persons in care. POC Due Date: 04/30/2026 Plan of Correction 1 2 3 4 Staff secured dangerous items POC clear”

“Based on record review, the licensee did not comply with the section cited above in having uncleared person residing at facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024 Plan of Correction 1 2 3 4 Individual left during visit”

“Based on observation, the licensee did not comply with the section cited above in an unlocked knife being in kitchen which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024 Plan of Correction 1 2 3 4 Caregiver removed knife”

“Based on record review, the licensee did not comply with the section cited above in S3 not having a tb result on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to get a TB result for employee and submit copy to CCLD”

“Based on record review, the licensee did not comply with the section cited above in not having any file available for S3 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to make a file for S3 and self certify to CCLD.”

“Based on record review, the licensee did not comply with the section cited above in not maintaing staff files with the nessesary information which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to complete all staff files and notify CCLD”

“Based on record review, the licensee did not comply with the section cited above in not having a valid administrators certificate which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to submit documents for certificate renewal and notify CCLD”

“Based on record review, the licensee did not comply with the section cited above in S3 not being certified which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to have S3 certified and submit certificate to CCLD”

“Based on record review, the licensee did not comply with the section cited above innot doing the required quarterly drill which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/26/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to conduct a drill and submit photographic proof of the drill in progress to CCLD”

“Based on record review, the licensee did not comply with the section cited above ina resident having an incomplete file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to update file and notify CCLD”

“Based on record review, the licensee did not comply with the section cited above. A pair of scissors was in unlocked drawer in kitchen, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/01/2023 Plan of Correction 1 2 3 4 Licensee cleared violation during visit.”

“Based on record review, the licensee did not comply with the section cited above, because 0 of 2 staff members who are on duty have cardiopulmonary resuscitation (CPR) training or first aid training, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Staff members shall complete their training in CPR and first aid. Licensee shall inform LPA that they have completed their training.”

“Based on record review, the licensee did not comply with the section cited above, because 0 of 2 staff members who are on duty have cardiopulmonary resuscitation (CPR) training or first aid training, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Staff members shall complete their training in CPR and first aid. Licensee shall inform LPA that they have completed their training.”

“Based on observation, the licensee did not comply with the section cited above, because no Admission Agreement is posted at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Licensee shall post copy of Admission Agreement. Licensee shall inform LPA when posted.”

“Based on record review, the licensee did not comply with the section cited above, because she has no register of current residents, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Licensee shall create current register of all residents in the facility. Licensee shall inform LPA when register created.”

“Based on observation, the licensee did not comply with the section cited above, because there is not a current first aid kit at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Cleared during inspection.”

“Based on investigation, licensee did not comply with the section cited above by not providing a copy of the admission agreement to resident which poses a potential health and safety risk to the persons in care.”

“Based on observation, the licensee did not comply with the section cited above. The hot water in kitchen measured at 128.7 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/18/2023 Plan of Correction 1 2 3 4 Licensee shall send picture proof and/or attest to decreasing temperature to 105 to 120 degrees Fahrenheit.”

“Based on observation, the licensee did not comply with the section cited above in the kitchen and in the main bathroom where cleaning solution was stored in unlocked kitchen and bathroom cabinets, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/18/2023 Plan of Correction 1 2 3 4 Licensee shall attest to LPA that the cleaners have been moved to a location inaccessible to residents.”

“Based on record review, the licensee did not comply with the section cited above. There is no plan of operation at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall send a copy of the facility's plan of operation to the LPA.”

“Based on record review, the licensee did not comply with the section cited above. There is no infection control plan at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall send a copy of the facility's infection control plan to the LPA.”

“Based on observation, the licensee did not comply with the section cited above in the main bathroom that has no toilet paper holder, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall have a toilet paper holder installed in the main bathroom and send picture proof to LPA.”

“Based on observation, the licensee did not comply with the section cited above. There are no nightlights in the facility's hallways, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall have night lights installed in the hallways and send picture proof to LPA.”

“Based on record review, the licensee did not comply with the section cited above. There were no personnel records available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall get copies of all staff records to the facility and notify LPA when they are at the facility.”

“Based on record review, the licensee did not comply with the section cited above. No administrator records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall get copies of all administrator records to the facility and notify LPA when they are at the facility.”

“Based on observation, the licensee did not comply with the section cited above. An emergency supply of water or food for 72 hours immediately following an emergency or disaster does not exist at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall obtain and store an adequate supply of food and water for 72 hours immediately following an emergency or disaster and provide picture proof that it is located at the facility.”

“Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No complete resident records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create complete records for each resident of the facility and notify LPA when they are at the facility.”

“Based on record review, the licensee did not comply with the section cited above. No complete resident records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create complete records for each resident of the facility and notify LPA when they are at the facility.”

“Based on record review, the licensee did not comply with the section cited above. No emergency and disaster plan for the facility was in use or at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create an accurate and up-to-date emergency and disaster plan for the facility and send copy to LPA when it has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No emergency drill record exists at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a binder to record the quarterly emergency and disaster drills, conduct the first one of 2023 for every staff member, and record the results in the binder. Licensee shall send LPA copy when it has been completed.”

“Based on record review, the licensee did not comply with the section cited above. No resident roster existed, which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee corrected during visit.”

“Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 3 caregivers, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/10/2023 Plan of Correction 1 2 3 4 Caregivers left facility during inspection and cleared deficiency.”