PATHWAY HOMES

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, R1 was sent to the hospital due to sustaining an injury and there is no record of the facility reporting the incident to CCLD, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Administrator stated that regulation on reporting requirements will be reviewed, and implement a process to ensure incident reports are submitted to CCLD. Documentation of the process will be submitted to CCLD by POC due date of 08/25/2026

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, one resident had PRN medication transferred and pre-dispensed into a different container other than its originally received container that does not have the pharmacist label, which poses/posed a potential health, safety or personal rights risk to persons in care.which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Administrator stated that a medication procedure will be submitted to CCLD to be reviewed for approval.

Official classification

Type B

Official code

87618(b)(3)(E)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, three out of four oxygen tanks in a resident's room were not secured in a stand or to the wall, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/01/2026 Plan of Correction Administrator stated that a stand will be purchased to secure oxygen tanks and will provide proof/photos to CCLD by POC due date of 09/01/2026

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. ***This requirement was not met as evidenced by: Two out of two residents stated that they are not given privacy when being changed or bathed, residents stated that door is often left open when staff are providing care to them. While conducting investigation and touring the facility, LPAs observed staff dressing R1 and preparing to transfer them to their wheelchair with bedroom door open.

Official plan of correction

Administrator stated they will provide a plan to train staff on personal rights of individuals and provide sign in sheets and agenda to Fresno CCL by 10/28/2025.

Deadline recorded: Oct 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(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 was not met as evidenced by: R1 stated during interview that there have been several times that staff have provided R1 with medication to drink directly from the medication bottle and not administered as directed by the physician.

Official plan of correction

Administrator stated that they will provide a plan to train staff on administering medication to individuals as prescribed by physicians and provide sign in sheets and agenda to Fresno CCL by 10/28/2025.

Deadline recorded: Oct 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to construction or alterations, all facilities shall obtain a building permit. 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 that Licensee altered the facility by installing a sliding glass door in room labeled " Bedroom #2 " in the facility sketch.which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction Licensee will obtain a fire clearance and complete LIC 9054- Local Fire Inspection Authority and Information, and provide the updated facility sketch by POC due date of 09/19/25.

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 observation and interview, the licensee did not comply with the section cited above in that R1's bed rail extends to more then half the length of the bed. Administrator provided a doctor note for R inidicating " Ok to use hospital bed with 1/2 rail. " However, the rails extends more than half of the length of R1's bed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction Licensee stated that the bed rail cannot be shortned only adjusted to be longer and will request a new bed for R1 with the correct size railing by POC Due date of 09/19/25.

Official classification

Type B

Official code

87616(b)(2)

Regulation authority

CCR

What the official deficiency says

(b) Written requests shall include, but are not limited to, the following: (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, Licensee did not ensure a restricted health care plan for R3s restricted health condition, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction Licensee will provide a restricted health care plan for R3 by POC due date of 09/19/25.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 (f)(2) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA observed at 11:04AM, cleaning chemicals stored under kitchen sink unlock accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/22/2024 Plan of Correction Administrator locked under the kitchen sink. POC cleared during visit.