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- Licensing Specialist: Chelsea Vardell.
- Census: 31. Specialist conducted facility visit from 1240 – 1525. MARs reviewed for 3 residents. Residents on the blue unit mentioned concerns about rats, spiders, mold, and lack of hot water. Residents also complained of a staff member who they reported makes them feel uncomfortable. One resident reported “[staff member] always stares at our butts.” Residents reported they do file grievances, but no one ever comes and talks to them about it. Licensing spoke to staff about residents’ concerns: Concerns about pest control are being addressed by the pest control company that visits the facility a minimum of 2x/month. Concerns of mold were checked, and one room was found to have mold in the shower. Concerns of staff and grievances were discussed, and staff stated he receives the grievances and will follow up with the residents. Specialist discussed with staff how to ensure residents have access to file concerns.
- Regs out of compliance –
- R911.6 – Outlet cover was broken off in the hallway of the blue unit. Mold was visible in the ceiling of the shower in room 303. Due date 4/15/22.
- Regs not correctable –
- R907.3 – Ratio on blue unit was 10 residents to 1 staff. Staff reported that no other staff was scheduled to the unit and only 1 staff is “always” assigned to the unit. Ratio on green unit was 9 residents to 1 staff. Staff reported that no other staff was scheduled to the unit and due to the facility being short staff there has been only 1 staff assigned to the unit in recent weeks.
- R908.8 – MARs for client had medication documented as administered at 16:00 even though it is currently 14:10.
