Palms Court I

Allegation investigated: -Staff negligence resulted in resident sustaining (2) stage IV pressure injuries.

Licensing Program Analyst (LPA) Angela Hood arrived at the care home and met with Caregiver, Charles Ankrah, to close the complaint into the allegation listed above. This complaint was filed under the wrong facility. Due to complaint not applying to this facility, the above allegation is found to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiencies are being cited. Exit interview conducted. A copy of the report provided. Unfoundedthe state’s words, verbatim · CDSS document, Sep 7, 2023 · control 59-AS-20230901083711

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kevin Mknelly and Sarah Benson arrived at the facility unannounced on 4/4/23 to conduct a Annual Inspection. LPA met with licensee and explained the purpose of the visit. Administrator was present for the inspection LPA toured the interior and exterior of the facility together with licensee to ensure health and safety of resident in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Part of the yard fence was damaged in recent storms and is scheduled to be replaced. LPAs conducted a file review for 1 staff and 1 resident. Resident records needing update were noted. Staff file was complete with the exception of training which are off site and will be provided. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 4, 2023

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Onyekachukwu "Jerry" Aniyie, caregiver and explained purpose of inspection. LPA and caregiver attempted to contact Administrator several times during inspection but were not able to. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: KN95 mask. LPA observed (1) resident in the common area watching television and (1) resident to be in their room. There are currently (0) residents on hospice services. LPA and caregiver toured the interior and exterior of the facility, including (6) private resident bedrooms, (2) bathrooms, (1) resident shower room, kitchen, common areas, laundry area, and (1) staff room. LPA observed all areas toured to be clean, safe and in good repair and to not pose a health and safety risk or personal rights violation. Inside temperature was observed to be 74* F. Fire extinguisher last serviced 3/10/2022. LPA observed locked toxins in the laundry room, locked medications in a hallway closet and sharps in the pantry where they are regularly locked. LPA observed sufficient 2+day perishable/7+day non-perishable food. First aid kits on site. LPA observed paper towels, soap, sanitizer, and hand-washing posters in the bathrooms. LPA observed sufficient PPE supply and incontinent products. There is (1) outside gate that is unlocked from the inside. LPA observed "mask required" Covid poster outside the front door and hand-washing (20 seconds) in each bathroom. LPA to email additional Covid posters to print and post. Administrator stated Department "See Something, Say Something" poster was moved and has not been re-posted but agreed to. Discussed vaccination status of residents and staff and requirement to be maintaining verification of vaccination status and/or negative test result on file for visitors per PIN 22-07. cont on 809C.. Discussed medication management with Administrator, by phone, and how pre-pouring medication for more than 24 hours is not permitted. Also discussed staff training with medications and accurate documentation of the Medication Administration Record (MAR). Discussed staff files. Administrator stated they are kept at the facility and agreed to provide training documentation from medication training she has conducted with staff as a licensed medical professional. Discussed how care plans need to be updated at least every 12 months or more frequently, with a change of condition. Administrator stated care plans were last updated on 2/16/2022, not 2/16/2021. Physician's report was updated on 1/17/2022 for resident (R1) who has a diagnosis of Dementia. Staff present, as well as additional staff and Administrator, are fingerprint cleared and associated to the facility. Administrator certificate # 6043018740- exp 5/8/2023 and the facility license to be framed and displayed in the office area in the hallway. (Technical Advisory Note issued for License) LPA requested that an updated copy of LIC500, LIC308 and a copy of the current liability insurance be provided to the Department by 5/19/2022. Administrator to also forward a copy of LIC808 submitted timely, in 2021, for review/approval. The Department's record show that an LIC808 was reviewed/approved for a related facility on/around July 2021. There are no deficiencies being cited today but a technical advisory note. Exit interview with caregiver. Copy of report left at facility.the state’s words, verbatim · CDSS document, May 12, 2022

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection, while also conducting an annual inspection, to follow up on a death report received on 4/4/2022.. LPA met with Onyekachukwu "Jerry" Aniyie, caregiver and explained purpose of inspection. LPA and caregiver attempted to contact Administrator several times during inspection but due to an emergency, Administrator was not able to return LPA's call until approximately 3:30 pm. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: KN95 mask. LPA observed (1) resident in the common area watching television and (1) resident to be in their room. There are currently (0) residents on hospice services. LPA discussed death report (LIC624A) received by the Department on 4/4/22 for resident (R1) who passed and was not receiving hospice services. Report indicates that resident was discharged from hospice on 10/29/2021. Administrator stated that resident's family was going to put resident back on hospice but she passed. Administrator stated that resident was receiving home health services, including physical therapy prior to passing. Administrator agreed to reach out to resident's family and provide the Department with an official death certificate once available and/or documentation showing resident was approved to go back on hospice. Documentation to be submitted to the Department by 5/26/2022. There are no deficiencies being cited on this report. Exit interview with caregiver. Administrator authorized caregiver to sign today's report.the state’s words, verbatim · CDSS document, May 12, 2022