BETTER LIVING CARE HOME

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 – Reappraisals Section (a) The licensee shall ensure that each resident is reappraised as necessary to determine whether the facility continues to meet the resident’s needs. This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to ensure staff met the care and supervision needs of Resident (R1). Facility records indicated blood pressure monitoring was required; however, documentation did not demonstrate that staff monitored or recorded the resident’s blood pressure as required. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87611(b)(1)

Regulation authority

CCR

What the official deficiency says

87611 General Requirements for Allowable Health Conditions (b) The licensee shall complete and maintain a current, written record of care for each resident that includes, but is not limited to, the following: (1) Documentation from the physician of the following: This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to ensure complete and maintain written records of care including but not limited to documentation from physician for R1. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465 – Incidental Medical and Dental Care Section (a)(5) The licensee shall be responsible for ensuring that medications are given according to physician's directions. This requirement is not met as evidenced by: Based on record review and interviews, the licensee failed to ensure medications were administered and documented according to physician directions for Resident (R1). Review of R1’s medication administration records revealed medications listed in hospital records were not documented on the facility’s MAR and dosage discrepancies were noted. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465(a)(1) Incidental Medical and Dental Care -The licensee shall ensure residents receive necessary medical care and assistance with medical needs. This requirement is not met as evidenced by: Based on record review and interviews, the licensee failed to ensure medications were administered and documented according to physician directions for Resident (R1). Review of R1’s medication administration records revealed medications listed in hospital records were not documented on the facility’s MAR and dosage discrepancies were noted. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(6)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia...(6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not updating annual medical assessments and Appraisal Needs and Services Plans (ANS) for R1 who developed blisters and was noted by Administrator on 10/08/20 while in care which posed a health and safety risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify that they read and understand this regulation moving forward and will comply by submitting self-certification to CCLD by POC due date.

Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87609(b)(4)

Regulation authority

CCR

What the official deficiency says

87609 Allowable Health Conditions and the Use of Home Health Agencies (b) Incidental medical care may be provided to residents through a licensed home health agency...(4) The licensee and home health agency agree in writing on the responsibilities... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not having home health records on file for R1 while in care which posed a health and safety risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify that they read and understand this regulation moving forward and will comply by submitting self-certification to CCLD by POC due date.

Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in by not having an official Doctor's order by Licensed Health Professional for 1/2 rail bed and/or hospital bed for R1, R2, R4, R5, R6, R7 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2024 Plan of Correction Administrators agrees to get Doctor's orders for R1, R2, R4, R5, R6 and R7 and submit to CCLD by POC due date.

Official classification

Type B

Official code

87705(c)(6)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in by not having updated Appraisal Needs and Services (ANS) for R1, R6 and R7 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/07/2024 Plan of Correction Administrators agrees to updated ANS for Residents listed above and submit copies to CCLD by POC due date.

Official classification

Type B

Official code

87506(d)(e)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records..(d) All resident records be available to the licensing agency,,upon demand during normal business hours. (e) Original records or...shall be retained for a minimum of three (3) years...

Official plan of correction

Administrators will send copies of Physicians Reports, Admission Agreements, Pre-placement Appraisals, Progress Notes, Hospitalizations, Dr's Orders, Medications, Staff Schedules to CCL

Deadline recorded: Jul 11, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by locking side gate which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/07/2022 Plan of Correction Staff removed lock during inspection. Deficiency cleared. Civil penalty of $500 is being assessed.