Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in one (1) out of four (4) residents did not have all their doctor prescribed medications present at the facility. Lorazepam 0.5 mg Tablet was missing from facility for R3 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/12/2025 Plan of Correction Licensee shall place order to pharmacy to replace missing prescription or provide doctor's prescription order for alternative medication and provide CCLD with a photo via email of replaced prescription by POC due date.
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 S1-S4 did not have a current CPR/First aid cert which posed a potential health and safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/19/2025 Plan of Correction Administrator will obtain a new CPR/First aid for S1-S4 and send to LPA by POC due date.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 which S1 and S3 did not have a health screening done upon hire which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/19/2025 Plan of Correction The licensee shall ensure all employees have a health screening performed by a physician on file and ensure that S1 and S3 obtains a health screening by POC due date.