REHABILITATION CENTRE OF FRESNO

Official classification

Type B

Official code

87458(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (5) The determination whether the person is ambulatory or nonambulatory as defined in Section 87101, Definitions, or bedridden as defined in Health and Safety Code section 1569.72. The assessment shall indicate whether nonambulatory status is based upon the resident's physical condition, mental condition, or both. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the licensee did not comply with the section cited above in that 5 of 6 resident files review did not have accurate and complete medical assessments. This which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction Administrator stated they will be getting updated medical assessments for all residents in care to have accurate and correct information. A sample of new medical assessments will be provided to CCL by POC date as proof of correction.

Official classification

Type B

Official code

1569.39(b)

Regulation authority

HSC

What the official deficiency says

(b) A residential care facility for the elderly that accepts or retains residents with restricted health conditions, as defined by the department, shall ensure that residents receive medical care as prescribed by the resident’s physician and contained in the resident’s service plan by appropriately skilled professionals acting within their scope of practice. An appropriately skilled professional may not be required when the resident is providing self-care, as defined by the department, and there is documentation in the resident’s service plan that the resident is capable of providing self-care. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction Administator stated they will work with a medical professional to get residents service plans in place. A sample of the records will be provided to CCL by POC date as proof of correction.

Official classification

Type A

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

87628 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. Deficient Practice Statement This requirement was not met as evidence by: records reviewed and interviews completed. Staff are completing glucose testing and injection medications on diabetic residents that need assistance. This poses an immediate health safety and or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 12/29/2025 Plan of Correction Administrator stated they will provide a plan of correction in writting to CCL by POC date. Plan to include residents with to be reassessed including but not limited to completing glucose testing and or injections as needed. Plan will also include what will occur if residents are unable to complete without assistance.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). Deficient Practice Statement This requirement was not met as evidence by: LPA observation of water temperature measuring below 105 degrees in 3 of 5 rooms tested. This poses a health safety and or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction Administator stated 3rd party vendor was contacted and working on getting water temperature to the required 105-120 degrees F. Water log for 2 weeks will be completed, testing at diffrent time of the day and in diffrent locations. Water log will be sent to CCL by POC date as proof of correction.

Official classification

Type B

Official code

87211(a)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: This requirement was not met as evidence by: LPA interviews. The licensee did not comply with the section cited above in that the Administrator disclosed a death and unwitnessed fall that was not reported to CCL as per reporting requirements. This poses a potential health safety and or personal rights risk to residents in care.

Official plan of correction

Administrator stated they will complete in serivce training with all staff. In service sign in sheets and training material wil be provided to CCL by POC date as proof of correction.

Deadline recorded: Sep 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(f)(1)

Regulation authority

HSC

What the official deficiency says

(f) A facility shall have both of the following in place: (1) An evacuation chair at each stairwell, on or before July 1, 2019. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that the facility was not observed with evacuation chair at stairways. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Administrator stated they will purchase chairs for the stairwells. Administrator stated they will provide receipts as proof of correction by POC date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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 LPA observation, the licensee did not comply with the section cited above in that facility is in need of repair in the elevator doorways, hallway walls, ceiling tiles outside of elevator and in hallways, paint in need of touch up on hallway walls and on doors to resident rooms. Hallway floors throughout the facility are in need of repair/replacement. Elevator making noise and in need of service. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Administrator will provide a written plan of correction. As corrections are being completed pictures will be provided to CCL as proof of correction.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degrees F (41 degree C) and not more than 120 degrees F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in Water temperature measured 130.2 degrees F (Rm 511) and 127.9 degrees F (Rm 425) without warning signs. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Administrator stated they will complete a water temperature log for 2 weeks. Temperatures will be taken twice daily in various locations. Water log will be submitted to CCL by POC date as proof of correction.