SPARR HEIGHTS ESTATES SENIOR LIVING

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as toxins were observed to be unlocked in the sink of Memory Care dining room and Room 3E, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/28/2026 Plan of Correction Cleared during visit. ED removed all the toxins and kept it in a locked storage room.

Official classification

Type B

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 as Room 7E of the Memory Care unit did not have hot water in the sink, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2026 Plan of Correction The Executive Director agreed to immediately create a work order to repair the faucet in Room 7E and will submit proof of repair to LPA on or before the 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 licensee did not comply with the section cited above in 1 out of 6 staff records reviewed did not have first aid certificate on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2026 Plan of Correction ED agreed to obtain the First Aid certificate of S1 and will submit a copy to LPA on or before the POC date.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on LPA record review the licensee did not abide by R1's physician's order. This poses an immediate health and safety risk to the residents in care.

Official plan of correction

Executive Director agreed to re train all the medication technician and will provide proof of training to CCL on or before the POC date.

Deadline recorded: Sep 16, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

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 is not met as evidenced by: Based on LPA record review, licensee failed to keep the prescription medication in central medication storage and accessible to R1. This poses an immediate health and safety risk to the residents in care.

Official plan of correction

Executive Director agreed to do a daily sweep to all memory care residents and train all staff regarding prohibited items on dementia residents and will submit proof of training and daily log to CCL on or before the POC date.

Deadline recorded: Sep 16, 2022. A deadline is not proof that correction was completed.