AMBER CARE HOME

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation Medication Fludrocortisone .1 MG tablets, Dosage Instructions: 1 tablet per day, daily. Instructions were written in Mars by staff and not by the Dr. or Pharmacy which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/20/2024 Plan of Correction Licensee agrees to have all staff retrained in Medication training and submit written documentation upon completion of training. Licensee agrees to have any changes of medication be written in the MARS and Medication log be written by a Licensed Physician.

Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465(a)(5) Incidental Medical and Dental Care The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not ensure staff administering R1 Calcium during bedtime on 02/01/22-02/27/22. R2 did not received Vitamin C in the evening from 01/01/22-01/31/22 which poses an immediate health and safety risks to persons in care.

Official plan of correction

Licensee has staff retrained on administering medication. Copy of training on 03/05/22 provided to LPA. A has a plan of correction with an action plan that included facility MAR to be reviewed by Administrator and ongoing staff training on administering medications will be submitted to department by 03/30/22.

Deadline recorded: Mar 30, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 (a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency... (1) A written report...to the licensing agency and to the person responsible for the resident within seven days of the occurrence. This requirement was not met as evidenced by: This requirement was not met as evidenced by: Based on record reviews, Incident report that incident occurred 01/01/22-01/31/22, 02/01/22-02/27/22, and 03/02/22 was reported to department on 03/11/22. This poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee agrees to submit a plan detailing steps the facility will take to ensure incident reports are submitted to the Fresno CCL office and responsible party. The plan will be submitted to the Fresno CCL office by 03/04/22.

Deadline recorded: Apr 4, 2022. A deadline is not proof that correction was completed.