Inspection Reports for
Mary Grace Care Home I

The manager failed to ensure there was a means of exiting the facility for residents without keys or special knowledge that provided access to an outside area and alerted employees of egress. The exit door device did not sound to alert staff when opened.

The manager failed to ensure policies and procedures were implemented for inventorying controlled substances. Required documentation such as the Narcotic Inventory Sheet and Controlled Substance Administration Record were missing from the resident's medical record.

The manager failed to ensure the facility's disaster plan was reviewed at least once every 12 months. Documentation confirming an annual review was not available.

The manager failed to ensure toxic materials were stored in a locked area inaccessible to residents. Unlocked cabinets containing cleaning sprays were observed in the bathroom and kitchen.

The manager failed to ensure the resident's written service plan included the level of service the resident was expected to receive. This omission posed a risk as the service plan did not clarify services to be provided.

The manager failed to ensure the resident's emergency contact was immediately notified after a fall requiring medical services. The facility assumed the hospice agency would notify the contact, but this did not occur, posing a risk to the resident's health and safety.