BELROSE CARE HOME III

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 POSTURAL SUPPORTS (a) ... Postural supports may be used under the following conditions ... (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. This requirement was not met as evidenced by: Based on observation and record review, the licensee did not have a physician's order for a bed railing for R1, which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Bed raining was removed from resident R1's bed during the visit.

Deadline recorded: Apr 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(g)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance This requirement was not met as evidenced by: Based on observation and record review, the licensee did not have a physician's order for a bed railing for R1, which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Transfer association to facility on or before due date.

Deadline recorded: Apr 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

Pre-Admission Appraisal - General. Prior to admission...an appraisal of his/her individual service needs in comparison with the admission criteria... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not obtaining pre-placement appraisal which poses a potential health and safety risk to the persons in care.

Official plan of correction

Administrator has agreed to review regulations regarding to admission of a new resident. Administrator will submit a written statement acknowledging that all current and future residents will have a pre-placement appraisal to CCLD by POC date.

Deadline recorded: Sep 2, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/02/2022 Plan of Correction Send proof of completed updates and repairs: (1) updated facility sketch with fence (2) pieces of wood and other junk in back and side yard removed (3) removal of dryer from temporary location in back of facility (4) replace trash bins so that ALL have functioning tight fitting lids (5) lock all outside storage, and (6) repair fence board.