AMERICAN SENIOR LIVING

Official classification

Type B

Official code

87633(b)

Regulation authority

CCR

What the official deficiency says

87633(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident… 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 when LPA reviewed R1 who is currently receiving hospice care with no current hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/16/2026 Plan of Correction The facility will obtain R1’s current hospice care plan and submit it to Fresno CCL by POC due date 03/16/26.

Official classification

Type B

Official code

87609(b)(4)

Regulation authority

CCR

What the official deficiency says

87609 (b)(4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview conducted, the licensee did not comply with the section cited above when LPA review R2’s, whose currently receiving home health with no home health care plan on file, which poses a potential health or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/16/2026 Plan of Correction Licensee will obtain R2’s home health record and submit it to Fresno CCL by POC due date 03/16/26.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 (a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview conducted, observation, and records reviewed, R3 was observed laying in hospital bed using ½ rails on each side. There is no doctor’s order for ½ rail bed for R3, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Official plan of correction

POC Due Date: 03/16/2026 Plan of Correction Licensee will obtain doctor orders for R3 indicating the need for half bed rail if physician indicates the need for half bed rail or Half rails will be removed by POC due date 03/16/26.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

87412 (c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when LPA reviewed S1’s file and observed S1 have not received the required initial staff training and orientation, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee shall ensure that all staff have required trainings and continued trainings recorded. Licensee will submit S1’s required training including trainer’s full name, subject covered in the training, date of the training, number of hours of training per subject to the Fresno CCL office by POC due date 11/21/25.

Deadline recorded: Nov 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 (a)(1)(D) 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…(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Based on record review and interview conducted, Licensee did not submit a written report to the department within 7 days of incident when R1 had a fall on 10/25/25, this poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee will submit review Reporting Requirements regulation 87211 and submit a plan detailing steps the facility will take to ensure Reporting requirements are met by the POC due date 11/07/25.

Deadline recorded: Nov 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(b)(17)

Regulation authority

CCR

What the official deficiency says

87506 (b)(17) Documents and information required… This requirement is not met as evidenced by: Based on record review, residents’ file were reviewed and observed R1 do not have an appraisal (Lic 603) and needs and services plan (Lic 625) on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee shall ensure that all residents have the required records on file. R1’s Lic 603 and Lic 625 will completed and submitted the Fresno CCL office by POC due date 11/10/25.

Deadline recorded: Nov 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 (a)(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interviews conducted, the licensee did not comply with the section cited above Licensee/ Administrator confirmed making comments regarding R1 of R1’s behavior, which poses/posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee will review Personal Rights regulation and submit a written statement of understanding and ensuring residents’ personal rights will be met. Written statement will be submitted to the Fresno CCL office by POC due date 11/05/25.

Deadline recorded: Nov 5, 2025. 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 such reports as the Department may require… (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... This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not ensure a written incident report was submitted to the department within 7 days of occurrence when R1 went to the hospital on 02/13/25 and 02/25/25, this poses/posed a potential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a plan detailing steps the facility will take to ensure the requirements of Reporting requirements are met by the POC due date 03/21/25.

Deadline recorded: Mar 21, 2025. A deadline is not proof that correction was completed.