Riverdale Center for Nursing and Healing

Based on observations, staff interviews, record review, and review of the facility's policy titled, Care Plans, Comprehensive Person- Centered, the facility failed to revise a care plan for three of 50 sampled residents (R) (R17, R60, and R98). The deficient practice had the potential for residents not to receive prescribed and needed care and services. Findings include: Review of the policy titled Care Plans, Comprehensive Person-Centered, revised December 2022 revealed under Policy Interpretation and Implementation: . 13. Assessments of residents are ongoing, and care plans are revised as information about the resident and the resident's condition change. 1. Review of R17's care plan dated 2/16/2025 indicated a focus problem of altered respiratory status/difficulty breathing r/t (related to) chronic respiratory failure, chronic obstructive pulmonary disease (COPD) and requires oxygen 3L (liters) continuously. Goals included but not limited to R17 will maintain normal breathing pattern as evidenced by normal respirations, normal skin color, and regular respiratory rate/pattern.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interviews, record review, and review of the facility policy titled, Activities of Daily Living (ADLs), the facility failed to provide grooming care for one of 50 sampled residents (R)(R70) dependent on staff for care. This deficient practice had the potential to cause a decline in R70. Findings include: Review of the facility policy titled Activities of Daily Living (ADLs) revised January 2024 revealed under Policy: The facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, ensure a resident's abilities in ADLs do not deteriorate unless deterioration is unavoidable. Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming and oral care. Under Policy Explanation and Compliance Guidelines: . 3. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility policy titled, Oxygen (O2) Administration, the facility failed to ensure that two of four residents (R) (R60 and R17) receiving O2 were administered O2 therapy in accordance with the physician orders. The sample size was 15. The deficient practice had the potential to place R60 and R17 at risk for medical complications, unmet needs, and a diminished quality of life. Findings include: Review of the facility policy titled Oxygen Administration revised December 2022 revealed under Policy: Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences. Under Policy Explanation and Compliance Guidelines: 1. Oxygen is administered under the orders of a physician, except in the case of an emergency. In such cases, oxygen is administered and orders for oxygen are obtained as soon as practicable when the situation is…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and resident/staff interviews, the facility failed to honor the rights for three of five sampled residents (R) (R26, R27 and R43) related to maintaining personal property within their possession and ensuring possessions are rightfully returned to the residents. Findings included: Record review of the facility policy titled Resident Personal Belongings last revised June 2023 documented the following: It was the policy of the facility to protect the resident's right to possess personal belongings such as clothing and furnishings for their use while in the facility and to assure the personal belongings and or possessions are rightfully returned to the resident's representative in the event of the resident's death or discharge from the facility. All residents' possessions, regardless of their apparent value, will be treated with respect. The facility will support the resident's right to retain and use personal possessions to promote a homelike environment and maintain their…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure money taken from the Resident Trust Account was accounted for and used for resident needs for six of 15 sampled residents (R 29, R33, R34, R35, R36, and R37). Findings include: Review of the Resident Statement Landscape dated 11/20/2023 for R29 revealed a charge for MCD Spendown for $1593.27 on 10/5/2023, which was credited back on 11/27/2023. Review of the Resident Statement Landscape dated 11/29/2023 for R33 revealed a charge for Personal Needs Item for $800.00 on 10/30/2023, which was credited back on 11/24/2023. Review of the Resident Statement Landscape dated 11/29/2023 for R34 revealed a charge for Personal Needs Item for $950.00 on 10/27/2023, which was credited back on 11/27/2023. Review of the Resident Statement Landscape dated 11/29/2023 for R35 revealed a charge for MCD Spendown for $750.00 on 10/24/2023, which was credited back on 11/24/2023. Review of the Resident Statement Landscape dated 11/29/2023 for R36 revealed a charge for MCD Spendown for $1544.07 on 10/3/2023, which was credited back on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and review of the facility policy titled, Abuse, Neglect, and Exploitation, the facility failed to ensure narcotic medications for Resident (R13) and resident funds for Residents (R29, R33, R34, R35, R36 and R37) were not misappropriated for seven of fifteen sampled residents reviewed for misappropriation. This had the potential to affect 58 residents which had physician orders for medications which were stored in the locked narcotic drawer and had the potential to affect 105 residents whose funds were managed by the facility. Findings included: 1. A review of a facility policy titled, Abuse/Neglect/Exploitation, revision date [DATE], revealed It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. A review of R13's admission Record, dated [DATE], revealed the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility policy titled, Resident and Family Grievances, the facility failed to make prompt efforts to resolve grievances and failed to ensure that grievances were documented and investigated thoroughly for three of 36 sampled residents (R) (R20, R8, and R19). Findings included: A review of the Resident and Family Grievances Policy (not dated) revealed the following: Prompt efforts to resolve include facility acknowledgment of a complaint/grievance and actively working toward resolution of that complaint/grievance. The Grievance Official is responsible for overseeing the grievance process; receiving and tracking grievances through to their conclusion; leading any necessary investigations by the facility; maintaining the confidentiality of all information associated with grievances; issuing written grievance decisions to the resident; and coordinating with stated and federal agencies as necessary in light of specific allegations. Grievances may be…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and review of the facility policy titled, Transfer and Discharge (including AMA), the facility failed to develop a discharge care plan and set up home health timely for one of four sampled residents (R) (R14). Findings included: A review of the facility policy titled, Transfer and Discharge including Against Medical Advice (AMA), revealed .Non-Emergency Transfers or Discharges initiated by the facility, return not anticipated .Orientation for transfer or discharge will be provided and documented ot ensure safe and orderly transfer or discharge from the facility, in a form and manner that the resident can understand. Depending on the circumstances, this orientation may be provided by various members of the interdisciplinary team .For a community discharge, a discharge summary and plan of care should be prepared for the resident. Document in the medical record that written discharge instructions were given to the resident and if applicable, the resident's representative . A…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interviews, the facility also failed to transcribe physician orders for one of four sampled residents (R30) which resulted in the resident receiving phosphate binders (inhibits phosphorus into the blood stream during meals) without food. Findings include: A review of R30's admission Record, dated 12/23/2022, revealed diagnoses which included ESRD and dependence on renal dialysis. A review of R30's care plan, dated 11/13/2023, revealed the resident required hemodialysis related to diagnosis of ESRD. A review of R30's physician orders, dated 6/26/2023, revealed an order to give sevelamer carbonate tablet 800 mg by mouth three times a day with meals to lower phosphorus. A review of R30's physician orders, dated 12/18/2023, revealed an order to give sevelamer carbonate Tablet 800 MG by mouth three times a day. No special instructions to be given with meals. A review of R30's Medication Administration Record (MAR), dated January 2024, revealed Sevelamer Carbonate 800 MG tablet was to be given three times a day at 9:00 am, 2:00 pm, and 9:00 pm. There were no…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, record review, and review of the facility policy titled, Medication Administration, the facility failed to ensure the medication error rate was less than a five percent for two of six sampled resident (R) (R2 and R30) observed during medication pass. This resulted from two errors out of twenty-five opportunities for a medication error rate of eight percent. Findings included: A review of the facility's policy titled, Medication Administration, dated January 2023, reveled .Compare medications source (bubble pack, vial, etc.) with MAR to verify resident name, medication name, form, dose, route, and time. Administer within 60 minutes prior to or after scheduled time unless otherwise ordered by physician . 1. A review of R2's admission Record, dated 4/5/2022, revealed diagnoses which included hypertension and malaise. A review of R2's physician orders, dated 12/28/2023, reveal an order for meclizine 50 milligram (mg) tablet (tab) give one tab by mouth one time a day for vertigo. On 1/24/2024 at 8:43 am, an observation was made during medication…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to honor food preferences for one of four sampled residents (R) (R28). Findings include: A review of the Electronic Medical Record (EMR) revealed R28 was originally admitted to the facility on [DATE] with multiple diagnosis of but not limited to of Alzheimer's Disease, Chronic Kidney Disease, glaucoma, type II diabetes, and hypertension. A review of the most recent comprehensive Minimum Data Set (MDS) assessment revealed that R28 presented with a Brief Interview for Mental Status (BIMS) score of two, indicating that the resident had severe cognitive deficit. A review of facility's policy titled Resident Nutrition Services revealed each resident is provided with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preference of each resident The policy further noted that the multidisciplinary staff, including nursing staff, the Attending Physician and the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on resident and staff interviews, record review, and review of the facility policy titled, Resident Rights, the facility failed to allow residents to receive visitors at a time of their choosing by putting in place a visiting schedule that did not allow residents to have visitors after 8:00 pm. This failure had the potential to deny 120 of 120 residents the right to have visitors after 8:00 pm. Findings include: Review of the facility's policy titled, Resident Rights dated 10/1/2022 revealed, The resident has a right to receive visitors of his or her choosing at the time of his or her choosing, subject to the resident's right to deny visitation when applicable, and in a manner that does not impose on the rights of another resident. During a Group meeting on 11/08/2023 at 3:00 pm, nine Residents (R)86, R16, R92, R102, R64, R104, R61, R63 and R90) responded that there were restrictions on visiting hours in the facility. During this meeting R90 stated his family did not get off work until after 8:00 pm. He further stated he did not have visitors due to the facility's visiting…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and review of the facility policies titled, Hand Hygiene and Preventing Foodborne Illness - Employee Hygiene and Sanitary Practices, the facility failed to ensure proper sanitary conditions in the facility's only kitchen. Specifically, a dietary aide did not wash their hands properly, and a dietary cook's nametag fell onto a plate of food being prepared on the serving line. The deficient practices had the potential to contaminate food being served for the facility's 120 of 120 residents who received meals from the facility's kitchen. Finding include: Review of the facility policy titled Hand Hygiene revised June of 2023 revealed, Hand hygiene technique when using soap and water .e. Dry thoroughly with a single-use towel. f. Use clean towel to turn off the faucet. Review of the facility's undated policy titled Preventing Foodborne Illness - Employee Hygiene and Sanitary Practices revealed, Food Services employees shall follow appropriate hygiene and sanitary procedures to prevent the spread of foodborne illness. Observation on 11/8/2023 at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on resident and staff interviews, record review, and review of the facility policy titled, Abuse, Neglect, and Exploitation, the facility failed to protect the resident's right to be free from physical abuse by a staff member and thoroughly investigate a staff to resident incident of abuse involving one resident (R) (R122) of 36 sampled residents. Specifically, the Administration failed to interview all staff members on duty the day the alleged abuse incident occurred. Findings include: Review of the facility policy titled Abuse, Neglect, and Exploitation with an implementation date of 10/1/2022 reads in part, .An Immediate investigation is warranted when suspicion of abuse, neglect, or exploitation or reports of abuse, neglect or exploitation occur. Identifying and interviewing all involved persons. including the alleged victim, alleged perpetrator, witnesses. and others who might have knowledge of the allegations. Review of the facility reported incident (FRI) dated 10/8/2023 revealed R122's family member (F) reported to Licensed Practical Nurse (LPN)5 that Certified Nursing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure one of one resident's (R) (R54) Minimum Data Set (MDS) was completed and submitted in a timely manner from a sample of 36 residents. Findings include: Review of the RAI Manual, dated October 2023, indicated, Chapter 5 . 5.2 Timeliness Criteria .Encoding Date: Within 7 [sic] days after completing a resident's MDS assessment or tracking record, the provider must encode the MDS .The encoding requirements are as follows: . For .discharge . assessment, encoding must occur within 7 days after the MDS Completion Date. Review of the R54's admission Record found under the profile tab of the electronic medical record (EMR), revealed R54 was admitted to the facility on [DATE] and discharged [DATE]. Review of the MDS listing under the MDS tab of the EMR revealed an admission MDS dated 7/3/2023 and an Entry MDS, dated 7/3/2023. Further review revealed the there was no discharge MDS completed.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, record review, and review of the facility policy titled, Resident Assessment-Coordination with PASARR (preadmission screening and resident review) Program, the facility failed to ensure an accurate Level 1 pre-screening of the resident for a mental disorder or intellectual disability prior to admission to the facility was completed or correct for one of three Residents (R) (R30) reviewed for Level 1 Pre-admission Screening and Resident Review. Findings include: Review of the facility's policy titled, Resident Assessment-Coordination with PASARR Program dated December 2022, stipulated that This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. The policy also stipulated that All applicants to this facility will be screened for serious…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, resident family member and staff interviews, record review, and review of the facility policies titled, Comprehensive Care Plans' and Resident Self Determination and Participation (Activities), the facility failed to develop a care plan to include activities for one resident (R) (R91) of 36 sampled residents. Findings include: Review of the facility policy titled Comprehensive Care Plans implementation date of 10/1/2022 read in part . 3. The comprehensive care plan will describe, at minimum, the following: a. The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Review of facility policy titled Resident Self Determination and Participation (Activities) revised date September 2022 read in part . 4. The Activity Director shall develop a plan of care for the resident based on the resident's assessment, goals, and preferences. Review of R91's admission Record located in the electronic medical records (EMR) section titled Profile revealed the resident was admitted to the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, resident and staff interviews, record review, and review of the facility policy titled, Resident Self Determination and Participation (Activities), the facility failed to provide an ongoing activity program to meet the individual interests and needs to enhance the quality of life for three Residents (R)11, R114 and R91) of 36 sampled residents reviewed for activities. Finding include: Review of facility policy titled Resident Self Determination and Participation (Activities) revised date September 2022 read in part . Policy: The facility's activity program is designed to promote and facilitate resident self-determination through support of resident choice and resident rights. Each resident has the opportunity to exercise his or her autonomy regarding those things that are important in his or her life. Policy Explanation and Compliance Guidelines: l. A resident's right to self-determination includes, but is not limited to: a. The right to choose activities, schedules, health care, and providers of health care services consistent with his or her interests,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interviews, record review, and review of the facility policy titled, Fall Prevention, the facility failed to ensure fall prevention interventions were implemented for one of two residents (R)176) identified for falls in the sample of 36 residents. Specifically, R176 sustained a fall without injury while receiving incontinence care by one staff instead of two staff. Findings include: Review of the facility's policy titled Fall Prevention with a revision date of June 2023 reads in part, .Each resident will be assessed for fall risk and will receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls. Review of R176's admission Record located in the resident's electronic medical records (EMR) section titled Profile revealed the resident was admitted with diagnoses that included respiratory failure, nontraumatic intracerebral hemorrhage, morbid obesity, and tracheostomy. Review R176's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 9/20/2023 located in the resident's EMR section titled MDS…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, record review, and review of the facility policy titled, Enteral Feeding Process, the facility failed to follow Physician Orders for enteral (delivering nutrition directly to the stomach or intestine) feeding for one of three residents (R) (R11) who received nutrition through a gastrostomy tube (a tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medications). The deficient practice had the potential for unintended weight loss. Findings include: Review of the facility policy titled Enteral Feeding Process updated June 2022 read in part, FORMULA ORDER: State feeding route, formula name, rate and if continuous or bolus feeding. If continuous add start and end times .Include the volume/kcal [kilocalorie] to be delivered in a 24-hour period in the order. Review of R11's admission Record located in the resident's electronic medical record (EMR) section titled Profile revealed the resident was re-admitted to the facility with diagnosis that included gastrostomy malfunction.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and review of the facility policy titled, Medication Storage, the facility failed to ensure that one of six medication carts (Front East Medication Cart) was secure when out of the site of the nursing staff. The deficient practice placed residents, staff, and visitors at risk of having unauthorized access to residents' medications. Finding included: Review of the facility policy titled Medication Storage, revealed, It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security. Policy Explanation and Compliance Guidelines: General Guidelines: a. All drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls. b. Only authorized personnel will have access to the keys to locked compartments. c.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.