STERLING SENIOR LIVING

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical/ dental care shall be developed by each facility. The plan shall encourage routine medical/dental care & provide for assistance in obtaining such care. (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, records reviewed, and interviews conducted, records revealed that one (1) medication for R6 had an entry on the MAR as administered but medication was not dispensed and still in the bubble pack. This action poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/10/2026 Plan of Correction The licensee will have all staff who administer medication to the residents retrained on medication administration procedures and medication documentation. Licensee will submit copies of in-service sign in sheet as well as training materials reviewed by POC due date.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (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 was not met as evidenced by: Based on interviews conducted and records reviewed, S1 acknowledged that a seatbelt was placed on R1 since being admitted. The licensee did not have a physician’s order for Postural Supports until 04/06/26. This poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee agreed to conduct an in service training for all staff on section cited and residents personal rights. The licensee shall submit to the department a copy of the sign in sheet, and training materials, by the POC due date.

Deadline recorded: Jun 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (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 was not met as evidenced by: Based on interviews conducte and records reviewed, S1 acknowledged that a seabelt was placed on R1 since being admitted. The licensee did not have a physician’s order for Postural Supports until 04/06/26. This poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee agreed to conduct an in service training for all staff on section cited and residents personal rights. The licensee shall submit to the department a copy of the sign in sheet, and training materials, by the POC due date.

Deadline recorded: May 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

A plan for incidental medical … and provide for assistance in obtaining such care, by compliance with the following: 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, record review, the licensee did not comply with the section cited above for resident #1 (R1) which posed a potential health risk to person in care. During medication review, LPA Cloyd did not observe Eliquis, listed on June 2024 MAR, being given to R1 from June 1 - June 20, 2024.

Official plan of correction

POC Due Date: 07/08/2024 Plan of Correction Staff resolved the issue by contacting the Hospice agency. Hospice sent an updated medication list discontinuing Eliquis as of 06/21/24. The Administrator will train staff on completing a monthly medication review and send evidence to regina.cloyd@dss.ca.gov by the POC due date.

Official classification

Type B

Official code

87506(b)(10)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (b)each resident record shall contain at least the following information (10)reports of medical assessment specified in section 87458, Medical Assessment and of any special problem or precautions This requirement was not met as evidency by: Based on LPA's record review at 10:30am, LPA did not observe a medical assessment (Physician's Report) for Resident R4, which poses a potential health or safety risk to residents in care.

Official plan of correction

Administrator will submitt a medical assessment (Physician's Report) for Resident R4 to LPA by 12/26/23.

Deadline recorded: Dec 12, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87606(b)(17)(A)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (b)each resident record shall contain at least the following information (17)documents and information required by the following (A) Section 87457, PreAdmission Appraisal. This requirement was not met as evidence by: Based on LPA's record review at 10:30am, LPA did not observe a Pre Admission Appraisal for residents (R2 and R4), which poses a potential health or safety risk to residents in care

Official plan of correction

Administrator will submitt a Pre Admission Appraisal for Resident's R2 and R3 to LPA by 12/26/23.

Deadline recorded: Dec 12, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (b)the medical assessment shall include, but not be limited to: (1)A physical examination of the resident indicating the physicians primary diagnosis and secondary diagnosis, if any and results of the examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions wich ould preclude care of the person by the facility. This requirement was not met as evidence by: Based on LPA's record review at

Official plan of correction

Administrator will submitt a tuberculosis test for Resident's R2 and R3 to LPA by 12/26/23. 10:30am, LPA did not observe a tuberculosis test for residents (R3 and R4), which poses a potential health or safety risk to residents in care

Deadline recorded: Dec 12, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above .LPA Montoya observed the black side gate is rusted and broken and the dishwasher is not operable. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2022 Plan of Correction Administrator shall fix or replace the side gate and the dishwasher. POC shall be submitted to CCLD via email to lourdes.montoya@dss.ca.gov by the POC due date, 11/28/2022.