Facility Evaluation Report

While LPA J. Clancy-Czuleger conducted a complaint investigation (15-AS-20230228093307) on 08/04/2023 LPA observed the following deficiencies

Based on interviews and observations staff is sleeping in common area including the living room and the kitchen. During interviews with staff, they stated that three staff sleeps in the kitchen and/or living room on fold up cot mattresses that are stored in the staff room where the fourth staff member sleeps.

While doing a walk through of the facility LPA observed that all five beds in the home have some form of bed rail. R1 and R2 are on hospice and are permitted to have bed rails. R3 is not on hospice and does not have doctors’ orders for bed rails but has full bed rails. R4 does not have doctor’s order for a bed rail and has it written in on an unsigned physician’s report.

The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided. Exit interview conducted.