OBSERVATORY CARE HOME

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. 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 in one of three resident files. Resident did not have documentation of a physician visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction Licensee to submit self certification that a physician visit has taken place and the documentation is contained in the file. Self Certification to be submitted to CCL by POC date of 03/07/2025.

Official classification

Type B

Official code

87211(a)(1)(A)

Regulation authority

CCR

What the official deficiency says

(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any...(A) Death of any resident from any cause regardless of where the death occurred...This requirement is not met as evidenced by: Based on record review, Licensee did not send a written death report after the death of a resident.

Official plan of correction

Licensee to review regulation provided by LPA and submit self certification that the regulation will be followed going forward. Self certification to be submitted by POC date of 07/05/2024.

Deadline recorded: Jul 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652(c)

Regulation authority

HSC

What the official deficiency says

(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued...to the resident’s estate, within 15 days after the personal property is removed. This requirement is not met as evidenced by: Based on record review, Licensee did not provide refund per regulation. This poses a potential Personal rights risk to residents in care.

Official plan of correction

Licensee to provide refund to residents familiy and review regulation provided by LPA. Licensee shall submit self certification that refund has been issued and the Licensee will abide by regulation. Self certification to be submitted to CCL by POC date of 07/05/2024.

Deadline recorded: Jul 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: 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 in 2 of 3 resident records. Two residents did not have updated appraisals, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/15/2024 Plan of Correction Licensee to ensure appraisals are updated as needed or at least every 12 months. Licensee to submit self certification that appraisals have been updated. Licensee to send Self Certification to CCL by POC date 03/15/2024.