RISING SUN CARE HOME INC

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. 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 one out of four residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Caregiver was able to contact Administrator and get a copy of the clients LIC 602. LPA had already completed the inspection so deficiency was issued. LPA will clear this today. No plan of correction is due for this citation.

Official classification

Type B

Official code

87705(h)

Regulation authority

CCR

What the official deficiency says

(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one backyard exit gate, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/01/2024 Plan of Correction Facility shall provide pictures of the gate, once they make necessary repairs. Proof is to be emailed to Licensing by 11/01/2024.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and record review, the licensee did not comply with the section cited, 1569.618(c)(3) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction Licensee agrees to submit copies of certificates of completion for CPR/First Aid for S1 and S2 by POC due date.

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 interview and record review, the licensee did not comply with the section cited above, 87608(a)(5)(A) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction Licensee agrees to submit a copy to the Department of the physician's orders for bed rails for R1 by POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff This requirement was not met as evidence by: LPA interview and observation. LPA reviewed facilities resident records. LPA requested R1’s file to which staff stated it was unavailable. This poses a potential health and safety or personal rights risk to residents in care.

Official plan of correction

Staff will have traiing for ditigital files to access. Staff to complete training on regulation. Training material and sign in sheet to be provided to CCL by POC date.

Deadline recorded: Aug 19, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87470(b)(2)

Regulation authority

CCR

What the official deficiency says

87470 Infection Control Requirements (a) (a) A licensee shall ensure that infection control practices are maintained as follows... This requirement was not met as evidence by LPA observation of trash bins without lids, LPA not COVID pre-screened upon entry, 2 staff present not wearing face coverings. This poses a potential Health and Safety risk to residents in care

Official plan of correction

Training will be completed with all staff to ensure infection control requirements are being followed. Administator to provide traiing material and sign in sheet once completed by POC date.

Deadline recorded: Jun 24, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468

Regulation authority

CCR

What the official deficiency says

87468 Personal Rights (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows:(A)...(PUB 475)...shall be 20 " x 26 " in size... This requirement was not met as evidence by: LPA observation of the Let Us Know poster is 8x10 in size posted in common area in frame. This is a potential Health and Safety or personal rights risk to residents in care.

Official plan of correction

Administrator to aquire a 20x26 sized poster and post in common area. Administrator to provide CCL a picture once completed no later than POC date.

Deadline recorded: Jun 24, 2022. A deadline is not proof that correction was completed.