JMS HOME FOR SENIOR

Official classification

Type B

Official code

87633(a)(4)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident's hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident's or prospective resident's Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above. R2 and R3 do not have a hospice care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/16/2026 Plan of Correction Licensee agreed to provide hospice care plan for R2 and R3 by the POC date.

Official classification

Type A

Official code

1503.2

Regulation authority

HSC

What the official deficiency says

1503.2 Carbon monoxide detectors required; inspection: Every facility licensed or certified pursuant to this chapter shall have one or more carbon monoxide detectors in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Carbon monoxide detectors were not working properly which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/10/2026 Plan of Correction Licensee agreed to provide proof of fixed or new carbon monoxide detectors by the POC date.

Official classification

Type B

Official code

87506(b)(10)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions. 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. R1 and R2 don't have complete and update it Medical Assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/16/2026 Plan of Correction Licensee agreed to provide R1 and R2 don't have complete and update it Medical Assessment by the POc date.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (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 observations and record review the licensee did not comply with the section cited above. LPA observed that there's no hospice care plan for R4, indicating the need for the full rails. LPA also observed R1, R2, and R3 have 1/2 bed rail without physician order. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2025 Plan of Correction Licensee/Administrator will request a current and updated hospice care plan for R4 and which indicates the need for the full rails. Administrator will provide copy of physicians order for R1, R2, and R3 to have 1/2 bed rail. Copy of the Hospice care plan for R4 and physician orders for R1, R2, and R3 will be submitted as POC.

Official classification

Type B

Official code

87412(a)(6)(A)

Regulation authority

CCR

What the official deficiency says

(A) For administrators this shall include verification that he/she meets the educational requirements in Section 87405(d) through (g). 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. Administrator has no physical file in the facility. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/11/2025 Plan of Correction Administrator will provide a copy of her employee file by the POC date.

Official classification

Type B

Official code

87458(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: 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. R2 has no updated Physician Report. R3 has an incomplete physician Report. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/10/2025 Plan of Correction Administrator will provide updated and complete phyiscian reports for R2 and R3 by the POC date.

Official classification

Type A

Official code

87468.1

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities; (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by; Licensee did not assure that residents accorded with healthful accommodations. Staff, working at the facility without wearing or properly wearing masks and not following Covid-19 entry protocols.

Official plan of correction

Licensee will provide written Covid-19 protocol to LPA on 01/24/22. Licensee will ensure staff know what is required and are practicing Covid-19 protocol by providing training and signed communication from each staff member.

Deadline recorded: Jan 21, 2022. A deadline is not proof that correction was completed.