Comfort Keepers Home Care

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and granted entry into facility by Constantin Mitrica, Administrator. At 9:20 AM, LPA toured facility with Constantin Mitrcia, Administrator. Facility has 6 residents present during today’s visit. Facility is a 6 bedroom 3 of which are residents rooms, 3 bathroom 1 of which is a residents bathroom, single story home with a detached garage. LPA observed a screening and sanitizing station at entrance of the facility. Facility appears clean and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. Restrooms are stocked with soap and paper towels and have hand washing postings. LPA observed facility has emergency food and water supply. Facility has a secured location for resident medication and files. LPA toured the outside grounds and observed outside visitation areas . Exit gates are unlocked and self latching. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation. LPA observed a 4 weeks supply of PPE. LPA reviewed all residents files and all contained required documentation including updated emergency information. Most staff and all residents are vaccinated for COVID-19 No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 30, 2022

Allegation investigated: Facility staff left resident unattended Facility staff over medicated resident

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Shobhana Frank for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with License Constantin Mitrica and explained the reason for today’s visit. During the course of investigation LPA Shobhana Frank conducted interview at facility with Licensee/Administrator,facility staff) S 1, S 2,S 3, S 4, (Hospice staff) S 5, S 6 and RP. Also reviewed facility Medication Administration Medication Record (MAR) LIC 601 Identification and emergency information, LIC 602 physicians report. medication log, LIC 603 preplacement appraisal Information, Facility staff schedule LIC 500, from August 2021 to January 2022, Notes from RP, Admission Agreement, Emanate Health Home Care Hospice dated 9/22/21, Green meadow hospice On allegation Facility staff left resident unattended , the following are the findings. Based on the interviews 6 staff, 4 out 6 staff reported that licensee was outside waiting for R 1’s daughter, standing by R 1’s wheelchair. Unsubstantiated Facility staff left resident unattended is unsubstantiated. Based on the information gathered through interviews there was not a preponderance of evidence to prove or disprove that the Facility staff left resident unattended therefore, the allegation is UNSUBSTANTIATED. On allegation that the resident is over medicated, the following are the findings. Per physician’s report dated 8/27/2021, Resident 1 has the primary diagnosis of age-related physical disability. Resident was admitted under Emanate Hospice care with terminal diagnosis of Alzheimer’s and dementia Resident was prescribed with Hydrocodone, Hyoscyamine pain medications as needed for pain. Based on medication record reviewed of, facility Medication Administration Medication chart (MAR), PRN Medication Log dated 11/1/21 to 11/9/21, on 11/2/21,11/3/21 and 11/4/21 R1 was in pain and PRN was given 4 times a day. Emanate Hospice medication log, Green Meadows Hospice Medication log, and interview of 6 staff- 6 of 4 staff reported PRN medications were given as needed (when R 1 in pain) ordered by the physician. the allegation that the Facility staff over medicated resident, Thus, the allegation is UNSUBSTANTIATED Based on the information gathered through interviews there was not a preponderance of evidence to prove or disprove that the Facility staff left resident unattended therefore, the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Sep 16, 2022 · control 22-AS-20220113165052

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shobhana Frank made an unannounced visit to the facility today to conduct required 1 year inspection. During today’s visit, LPA met with Licensee/Administrator Constantin Mitrica and explain the purpose of today's visit. LPA Frank toured the facility, inspected resident rooms and bathrooms, reviewed staff training records. LPA Frank reviewed centrally stored medications and records, reviewed food services, and inspected the kitchen. In addition, LPA Frank tested the hot water temperature, which measured 111.2 degrees F in resident bathroom. Resident areas were noted to be a comfortable temperature. Smoke detectors and carbon monoxide detectors were tested and found to be operational. The facility also has fire extinguisher that was mounted and charged. LPA Frank confirmed food supply: 2 day supply of perishables and 7 day supply of non-perishable food is available for the number of residents present. Hygiene supplies and supply of linen were observed in quantities for the number of residents in care. LPA observed locked areas for toxins and hazardous items. Medication were observed locked in cabinet. LPA observed COVID - visitation station equipped with hand sanitizer, thermometer, Gloves, visitors log, COVID posters throughout the facility. Every week the facility conduct COVID testing for staff. LPA observe the facility to be clean and in good repair. LPA Frank reviewed : 1.) Designation of Administrative Responsibility (LIC308) 2.) Personnel Report (LIC500); 3.) Emergency Disaster Plan (LIC610E); 4.) LIC 9020A Client Roster; LIC 808) Mitigation Plan; Current Liability Insurance. Based on the observations made during today’s visit, no deficiencies are being cited in area inspected. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Oct 26, 2021