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- Plan Of CareCare planningRemedied during inspection
Inspectors found that the home's written care plan for a resident did not clearly document which mobility device the resident should use, creating potential confusion for staff providing care. The home updated the care plan after the inspection to clarify this direction.
- Residents’ Bill Of RightsResidents' rights
Inspectors found that staff did not provide proper care to a resident by leaving them unattended during an activity of daily living, despite the resident requiring one staff member's assistance at all times for that task. The resident's care plan documented that they should not be left unattended during this activity.
- Reporting Certain Matters To DirectorReporting & complaints
Inspectors found that the home did not report a suspected case of abuse or neglect to the Director as required. After discovering a resident with a skin injury of unknown cause, the home conducted its own investigation but failed to immediately report the suspicion to the Director, even though the unknown origin of the injury and potential for harm required mandatory reporting.
- Skin And Wound CareSkin & wound
Inspectors found that a resident with a skin impairment was not assessed by an authorized healthcare provider using a proper skin assessment tool until two days after the skin issue was first identified.