CASA ELITE

Official classification

Type B

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. 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 1 out of 8 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/02/2026 Plan of Correction The Licensee agreed to have the resident moved into a room on or before the POC date.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirments- General (c) All RCFE staff who assist residents with personal activities of daily living shall receive intial and annual training.... (1) Staff providing care shall receive appropriate in first aid from persons qualified. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviews, the licensee did not comply with the section cited above in two out of six caregivers which poses safety to persons in care.

Official plan of correction

POC Due Date: 12/06/2023 Plan of Correction Adminstrator agrees to provide proof of training by due date.

Official classification

Type B

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not mer as evidenced by: Based on interviews and observation, the Licensee did not ensure centrally stored medication was locked in a place no accesible to residents in care, which posed a potential health, safety, and personal rights risk to 6 of 6 residents in care.

Official plan of correction

Administrator agreed to provide centrally store medication training to all staff and submit proof of training, by 11/17/23.

Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87475(h)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement was not met as evidenced by: Based on interviews and observations, the Licensee did not ensure centrally stored medication was labeled and maintained in complaince, which posed a potential health, safety, and personal rights risk to 6 of 6 residents in care.

Official plan of correction

Administrator agreed to provide centrally store medication training to all staff and submit proof of training, by 11/17/23.

Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: (A) Medications usually prescribed for self-administration which have been authorized by the person's physician. This requirement was not met as evidenced by: Based on interviews and observations, the Licensee did not ensure staff only assisted residents with medication prescribed by a resident's physician, which posed an immediate health, safety and personal rights risk to 3 of 6 residents in care.

Official plan of correction

Administrator agreed to provide in service training to all staff regarding asisstance with self administered medication. Administrator will provide a training date to the LPA by 9/8/23. Once training is complete, administrator will send the LPA proof. Administrator will work with physicians to obtain orders for all different uses of prescribed cannabis.

Deadline recorded: Sep 7, 2023. A deadline is not proof that correction was completed.