LEANING PINE, THE

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 degrees C) and not more than 120 degree F (49 degrees C). 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 the hot water temperature was measure at 127 degrees F in the bathroom and kitchen which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/12/2026 Plan of Correction Licensee shall submit a plan to ensure the hot water temperature stays within the range of 105-120 degrees F. The plan is due to LPA by 8/12/26.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the Administrator did not comply with the section cited above in that staff failed to sign the Medication Administration Record (MAR) for the a.m. medications administered on the correct date (09/16/2025)for all (5) residents which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 09/26/2025 Plan of Correction Administrator shall provide in-service training to all staff on how to properly document the Medication Administration Record (MAR), as well as develop a policy requiring that (2) people verify medication records. Administrator to send a copy of the training log, along with the topics covered, and a sign-in sheet of staff who participated to CCL/LPA by POC due date.

Official classification

Type B

Official code

87507(g)(3)(A)(1)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (g) Admission agreements shall...(3) Payment provisions, including the following: (A) Rate for all basic services...1. A comprehensive description of any items and services provided under a single fee... This requirement is not met as evidenced by: Based on record review, Resident #1's admission agreement did not list the monthly rates and/or other services rates which posed a potential personal rights risk to residents in care.

Official plan of correction

The licensee shall ensure the admission agreement is filled out in its entirety with the basic rates and any additional services provided. (continue below) The licensee shall review all the residents' admission agreements to ensure the rates are accurate and submit a statement indicating the records have been reviewed. The POC is due by 6/13/23.

Deadline recorded: Jun 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652(c)

Regulation authority

HSC

What the official deficiency says

H & S 1569.652 (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual...within 15 days after the personal property is removed. This requirement is not met as evidenced by: Based on record review, Resident #1 passed away on 2/28/23 and the responsible party was issued a refund on 4/26/23 which posed a potential personal rights risk to residents in care.

Official plan of correction

The licensee shall review the admission agreement and health and safety code on refund policies to ensure that refunds are issued proper and timely. The statement acknowledging these regulations have been read is due to LPA by 6/13/23.

Deadline recorded: Jun 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652(a)

Regulation authority

HSC

What the official deficiency says

§1569.652 Termination of admission agreement upon death of resident;... (a) A residential care facility for the elderly shall not require advance notice...upon the death of a resident. No fees shall accrue... This requirement is not met as evidenced by: Based on record review and interview, Resident #1 was billed for 2 weeks for care and supervision provided which posed a potential personal rights risk to residents in care.

Official plan of correction

The licensee shall redetermine the amount billed for R1 prior to decease and ensure the family was issued the correct amount. The POC is due by 6/13/23.

Deadline recorded: Jun 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above for 3 screens which poses a potential health, safety or personal rights risk to persons in care. One screen sliding door had an approx. 6 inch tear. Two client bedrooms did not contain screens.

Official plan of correction

POC Due Date: 10/15/2021 Plan of Correction The administrator stated that she will have the screens replaced and will provide pictures to CCL by POC due date.

Official classification

Type B

Official code

87307(a)(3)(C)

Regulation authority

CCR

What the official deficiency says

(C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited. 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 5 out of 5 beds which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/15/2021 Plan of Correction The administrator stated that she will provide all required linens for bed and send a receipt for purchased items to CCL by POC due date.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 the outdoor passageways which contained items meant to be discarded including rolling medical beds, wood pieces, and plastic bottles which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/15/2021 Plan of Correction The administrator stated that she will have the items removed and will send a picture of the cleared areas by POC due date.

Official classification

Type B

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(6) Personal Rights of Residents in all facilities. To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This requirement was not met as evidenced by... Based on interviews and records reviewed, the licensee did not ensure that residents were not restricted from leaving the facility. This poses a potential risk to the personal rights of persons in care.

Official plan of correction

The administrator stated that she would provide in-service training regarding PINS about visitations and outings during COVID-19 and provide a copy of the relevant PINS to staff and residents. Administrator will provide a copy of training log to CCL by 8/13/21.

Deadline recorded: Aug 13, 2021. A deadline is not proof that correction was completed.