BASSETT RESIDENTIAL CARE

Official classification

Type A

Official code

87204(b)

Regulation authority

CCR

What the official deficiency says

(b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents. Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents. 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 per record review, Resident #2 and Resident #6 are determined to be non-ambulatory and were observed housed in bedroom #1 and bedroom #2 which is designated for ambulatory use, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2026 Plan of Correction The Licensee will relocate Resident #2 and Resident #6 to rooms approved for non-ambulatory use or submit a written plan or evidence to the Department as to how they will come into compliance with their approved fire clearance by 7/23/26.

Official classification

Type A

Official code

87307(e)(1)(A)

Regulation authority

CCR

What the official deficiency says

(e) The licensee shall supervise residents as needed and as determined by the resident's appraisal pursuant to Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, when residents are in proximity to or when there is use of the following items: (1) Ranges, ovens, heaters, fireplaces, wood stoves, inserts, and other heating devices. (A) Heating devices shall have protective mechanisms or other measures to prevent access to the device, or to make it inoperable when not in use, in order to reduce the risk of burns or fire. 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 it was observed that the fire place located in the living room is not made inaccessible to the residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2026 Plan of Correction Licensee will take steps to make the fireplace inaccessible to the residents in care by putting a barrier to make the fire place inaccessible. A fire screen placed in front of the fire place will meet these requirements. Provide evidence of correction by 7/23/26.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 Resident #1's hospital bed was equipped with a full bed rail and they are not on hospice which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2026 Plan of Correction Licensee will immediately remove the full bed rails from Resident #1's bed and obtain clarification in writing from the resident's physician indicating the need for the use of the full bedrails. Provide evidence of correction by 7/23/26.

Official classification

Type B

Official code

87307(a)(3)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. 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 were no required chest of drawer were observed in bedroom #2, bedroom #4 and bedroom #5 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction Licensee will provide a chest of drawers meeting the required 8 cubic feet in bedroom #2, bedroom #4 and bedroom #5 and provide evidence that the deficiency has been corrected by 7/29/26

Official classification

Type B

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, 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 as the emergencry and disaster plan does not provide sufficient information and questions are simply answered as N/A which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/05/2026 Plan of Correction The Licensee will review their Emergency and Disaster Plan to ensure that the plan contains all the Title 22 requirements and provide more details instead of ambigious statments and N/A. Provide evidence of updates by 8/5/26.

Official classification

Type B

Official code

87618(b)(3)(A)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (A) A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. 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 as Resident #!1 was observed using a oxygen concentrator which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2026 Plan of Correction Licensee will send a written notification to the local fire department advising them that there is oxygen use at the facility by 7/23/26

Official classification

Type B

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas. 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 were no signs posted anywhere in the facility to indicate that there is oxygen in use which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2026 Plan of Correction The Licensee will ensure that signs reading " No Smoking-Oxygen in Use " are posted in all the appropriate areas by 7/23/26

Official classification

Type B

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. 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 observed during the tour of the bedrooms, that bedroom #6 has an outside exiting door and there is no auditory device mounted on the door to monitor or alert staff when residents who may be at risk for elopment exit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction The Licensee will mount an auditory device on the outside exiting door located in bedroom #6 and provide evidence to the Department by 7/29/26

Official classification

Type A

Official code

87204(b)

Regulation authority

CCR

What the official deficiency says

(b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents. Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by having residents in incorrect rooms, non-ambulatory in ambulatory rooms and bedridden resident in an non-ambulatory room which poses an immediate health, safetyrisk to persons in care.

Official plan of correction

POC Due Date: 07/24/2024 Plan of Correction Licensee shall move all residents to their correspondant rooms to match what is on the fire clearance paperwork and facility sketch. Also, licensee shall inform responsible parties and family members of these changes. LPA will have to receive pictures of all residents in their correct room by POC due date

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 having 2 non-working vehicles obstructing emergency exits which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 08/02/2024 Plan of Correction Licensee shall submit pictures of emergency exits free of obstruction by POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 having a snap hook carabiner instead of a lock on kitchen and laudry cabinets which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/19/2024 Plan of Correction Licensee shall change all snap hook carabiner and replace them with locks by POC due date. LPA will expect photos of such locks by POC due date.

Official classification

Type A

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in two out of two smoke/carbon monixide detectors were not functioning, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2023 Plan of Correction Adsministrator stated that the detectors will be in working condition by the end of the date of this report, and will send the department a copy of the work performed by a licensed professional.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above since two out of two centrally stored and destruction medication records were not up to date, and two out of two medication bottles the medication was not given acccording to the physician's deirections, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/31/2023 Plan of Correction Administrator will update all Centrally Stored and Desrtuction Medication records to reflect when the medication was filled and started, and will email the department.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

Living accommodations and grounds shall be related to the facility's function... privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply This requirment was not met as evidenced by: During physical plant, LPA observed camera installed in R1's room. This poses as a potential health and safety risk to residents in care.

Official plan of correction

During the visit, The reponsible party agreed to uninstall the camera today. Administrator agreed to review section cited and submit statement of understanding to LPA via email by POC date. Administrator will also send picture to LPA via email once camera is removed.

Deadline recorded: Jun 23, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations... This requirement is not met as evidenced by: Based on interviews, the Licensee did not ensure the personal rights of persons in care to live in a safe, healthy, and comfortable home as staff did not wear face coverings at all times while inside the facility, which poses an immediate health and safety risk to residents in care

Official plan of correction

The Licensee agreed to advised staff on wearing masks at all times inside the facility when required and to conduct a training on CA Dept of Public Health Guidance for the use of face coverings and COVID-19 screening protocols and submit proof to LPA via email by end of day 06/19/2023.

Deadline recorded: Jun 19, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

HSC

What the official deficiency says

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on record review and interview, records for R1 were not updated when R1 was admitted to the facility although R1 had a change of condition, which poses a potential health and safety risk to residents in care.

Official plan of correction

House manager agreed to complete a training for all staff on resident records maintenance with a qualified vendor and send LPA record of the training to include name of vendor, date held, participants, and topics covered by POC due date.

Deadline recorded: Mar 9, 2022. A deadline is not proof that correction was completed.