Dementia careType B
- Official classification
- Type B
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) 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, the licensee did not comply with the section cited above by leaving over the counter medications, and disinfecting wipes in the kitchen drawer and one of the bathrooms, unlocked and accessible to residents in care in bedroom #5, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/23/2025 Plan of Correction Licensee agreed to conduct an in-house training with all staff regarding the care for Dementia residents and always keep medications and disinfecting wipes locked. Proof of training will be emailed to LPA by POC date.
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Postural Supports: Based on the individual pre-admission 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 him/herself. Postural support may be used under the following condition: 3) A written order from the Physician indication 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 observation and record review, the licensee did not comply with the section cited above. Three (3) out of five (5) residents have a half bed rail without a doctor's order, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/23/2025 Plan of Correction The Administrator removed the half bed rails for all three (3) residents and plan of correction cleared during today's visit.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
Maintenance & Operation (e) Water supplies…shall be maintained…(2) Faucets used by residents…shall deliver hot water…to attain a temperature of not less than 105 degree F…and not more than 120 degree F… This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, the licensee did not comply with the section cited above. The water temperature was 150.6 Degrees F which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/23/2025 Plan of Correction Licensee/ Administrator will call for a plumber to fix the water heater and send receipt of the fixture by POC due date. The Licensee also agreed to keep a log of water temperature for one week and submit the proof to LPA by POC due date.