Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(j)
- Regulation authority
- CCR
What the official deficiency says
Care of Persons with Dementia. The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met as evidenced by: Based on the observations of LPA's the alarm on the exit door was inoperable in Rm#6. Staff stated alarm had been in-op for a minimum of 1 week so staff disabled the alarm resulting in an immediate risk to the health & safety of residents in care.
Official plan of correction
Administrator agrees to ensure all auditory alarms are functional and activated. An additional auditory alarm will be installed to the outside of the exterior door to the room for R-1. At the time of this visit all bedroom exterior doors have functional auditory alarms installed on the inside are functional
Deadline recorded: Sep 21, 2021. A deadline is not proof that correction was completed.
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on observations by LPA's and statements by Staff, R-1 was able to leave the facility without the knowledge of staff on duty indicating insufficient staffing resulting in an immediate risk to the health & safety of residents in care.
Official plan of correction
Administrator agrees to ensure all auditory alarms are functional and activated. An additional auditory alarm will be installed to the outside of the exterior door to the room for R-1. At the time of this visit all bedroom exterior doors have functional auditory alarms installed on the inside are functional. There will be at a minimum one awake staff at night.
Deadline recorded: Sep 21, 2021. A deadline is not proof that correction was completed.