HEART OF HOME SENIOR LIVING

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above as two fire extinguishers were observed to be not serviced within a year which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator had the two fire extinguishers serviced during the time of visit. POC has been met.

Deadline recorded: Feb 16, 2024. A deadline is not proof that correction was completed.

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 and record review, the licensee did not comply with the section cited above as 3 of 4 resident medications reviewed contained inconsistencies with their medication amounts remaining and amounts documented as administered on the centrally stored which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/04/2023 Plan of Correction Administrator agreed to do a complete medication audit for the facility and training for all medication staff and submit documentation to CCL by POC due date. The Administrator within 24 hours will provide the LPA of the training dates.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(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, as there was a disinfectant accessible, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2022 Plan of Correction The Administrator has agreed to do the following: 1. The items were removed upon observation. Plan of Correction met.

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615(a)(1) Prohibited Health Conditions. (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained...: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as R1 was retained with a stage 4 and unstageable pressure injuries, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator agreed to do the following: 1. Schedule a training regarding Pressure Injuries and Healing Wounds. Verification of scheduled training with the trainers credentials will need to be submitted by 3/04/2022 and completion of training must be submitted no later than 3/21/2022. A civil penalty in the amount of $500 has been issued due to retaining a resident with a prohibited health condition. The wounds were not cared for by an appropriately skilled professional while at this facility.

Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87631(a)(1)

Regulation authority

CCR

What the official deficiency says

87631(a)(1) Healing Wounds. ... The licensee shall be permitted to accept or retain a resident who has a healing wound under the following circumstances: When care is performed by or under the supervision of an appropriately skilled professional.. This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as R1 had wounds on the heels and coccyx that were not treated by an appropriately skilled professional, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator agreed to do the following: 1. Schedule a training regarding Pressure Injuries and Healing Wounds. Verification of scheduled training with the trainers credentials will need to be submitted by 3/04/2022 and completion of training must be submitted no later than 3/21/2022.

Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following....: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on the investigation, licensee did not comply with the section cited above, as R1 did not receive the appropriate care and supervision, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator agreed to do the following: 1. Submit a Plan of Action, explaining the steps the facility will follow to ensure that the care needs of all residents are met. Submit Plan of Action no later than 3/4/2022

Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465(g) Incidental Medical and Dental Care. 9-1-1 shall be telephoned immediately if an injury or other circumstance has resulted in an imminent threat to a resident’s health, including an apparent life-threatening medical crisis. This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as the facility failed to ensure that R1 received timely medical attention pertaining to R1's wounds, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator agreed to do the following: 1. Submit a Statement of Understanding, explaining the steps the facility will follow to avoid similar issues from happening again and to ensure compliance to Title 22 Regulations regarding emergency medical assistance.

Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.