DANIAS SENIOR HOME

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the Administrator and staff on duty did not have current staff training in personnel file. Which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/08/2026 Plan of Correction Administrator has agreed to submit current training for staff by POC date.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the Administrator and staff on duty did not have current first aid/CPR staff training in personnel file. Which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/25/2026 Plan of Correction Administrator has agreed to submit first aid/CPR for staff by POC date.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

Postural Supports. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and LPAs observation, the licensee did not comply with the section cited above by not obtaining a full bedrail doctor's order for R1 (who is not currently on hospice), which poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 04/15/2025 Plan of Correction Administrator removed the full bed rails during time of visit and informed LPAs that the hospice agency had been already contacted and R1 is scheduled to be admitted on hospice as of 04/10/25. Administrator agreed to submit R1's new hospice agreement to LPA by POC date.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705(f)(2) Care of Persons with Dementia. The following items shall be made inaccessible to residents with dementia: 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 is not met as evidenced by: Deficient Practice Statement Based on observation, licensee did not comply with the section cited above to make laundry detergents and sharp gardening tools inaccessible to residents in care as the detergents were stored in a unlocked cabinet in the laundry room with the laundry room door open/unlocked and the gardening tools accessible in outside area of the facility which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 04/22/2024 Plan of Correction Administrator locked the cabinet and the laundry room door and locked away the gardening tools during the visit. Cleared during visit.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above a sharp scissor was in an unlocked kitchen drawer and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/23/2024 Plan of Correction Administrator immediately removed and locked away the scissor. Administrator also agreed to provide training to their staff and provide LPA with a proof by the due date.

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

Fire Clearance: (a) All facilities shall maintain a fire clearance approved... Prior to accepting or retaining any of the following types of persons... (2) Bedridden persons 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 by accepting three (3) bedridden residents in bedroom # two (2), # four (4), and # five (5) without having a proper fire clearance, which poses an immediate health, safety or personal rights

Official plan of correction

POC Due Date: 04/23/2024 Plan of Correction Licensee agreed to complete and submit LIC200 along with the facility sketch to Fire Department for a Bedridden and non-ambulatory approval by POC date. Bedridden plan of operation and proof will be submitted to LPA Immediate Civil Penalty of $500.00 issued

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (interview) (record review)], the licensee did not comply with the section cited above in not assuring that R1's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/23/2024 Plan of Correction Administrator agreed to schedule a training for all staff and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion. Administrator also agreed to notify doctor and submit LIC 624 to CCL regarding the incident.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

Personnel Records: (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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. Upon LPA's request staff/Administrator designee was unable to provide any personnel records for any of their staff including the themselves (Administrator designee). LPA was informed that the administrator designee could not locate any of the personnel files. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/29/2024 Plan of Correction Administrator designee agreed to have a complete files/records for thier staff in the facility by the due date.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

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... This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by keeping centrally stored medication cabinet unlocked, which poses an immediate health, safety or personal rights risk to persons in care.

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

Official classification

Type B

Official code

87625(b)(1)

Regulation authority

CCR

What the official deficiency says

87625 Managed Incontinence (b the licensee shall be responsible for the following: (1) Ensuring that residents who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in 1 out of 5 residents which poses a potential Health, Safety, and Personal Rights risk to residents in care.

Official plan of correction

Licensee will provide in-service training for all staff on the cited section and submit proof to LPA by POC due date.

Deadline recorded: Jun 10, 2022. A deadline is not proof that correction was completed.