Health conditions and treatmentsType A
- 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 (interview) (record review)], the licensee did not comply with the section cited above in R2 did not have a prescription for full bedrails which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/08/2025 Plan of Correction Licensee agrees to contact doctor and obtain a written prescription for R2's bedrails by POC due date 11/8/25.
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Deficient Practice Statement Based on (interview) (record review)], the licensee did not comply with the section cited above in Staff are injecting R1 with insulin, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/08/2025 Plan of Correction Licensee agrees to submit a written plan on how R1 will recieve prescribed injections and meet regulations by POC due date 11/8/25
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(b)(2)
- Regulation authority
- CCR
What the official deficiency says
(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (2) Ensuring that sufficient amounts of medicines, testing equipment, syringes, needles and other supplies are maintained and stored in the facility as specified in Section 87465(c). This requirement is not met as evidenced by: Deficient Practice Statement Based on (interview), the licensee did not comply with the section cited above in Licensee is throwing needles in the trash and not in a sharps container, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/08/2025 Plan of Correction Licensee agrees to obtain a sharps container to meet this regulation and will submit a photo by POC due 11/8/25
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 in Licensee does not have proof of training for S1, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/28/2025 Plan of Correction Licensee agrees to submit required training for S1 by POC due date 11/28/25
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) , the licensee did not comply with the section cited above in Licensee is storing all 4 residents medications in a container that is not the original container of the medication, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/28/2025 Plan of Correction Licensee agrees to submit a plan in writing on how this regulation will be met by POC due date 11/28/25.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a pre admissions appraisal for R1, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/28/2025 Plan of Correction Licensee agrees to submit a pre admissions appraisal for R1 by POC due date 11/28/25.
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 1569.725(a)
- Regulation authority
- HSC
What the official deficiency says
(a) A residential care facility for the elderly may permit incidental medical services to be provided through a home health agency, licensed pursuant to Chapter 8 (commencing with Section 1725), when all of the following conditions are met: This requirement is not met as evidenced by: Deficient Practice Statement Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have any home health information or a home health care plan for R1 who is receiving home health, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/28/2025 Plan of Correction Licensee agrees to submit a Home Health care plan for R1 by POC due date 11/28/25
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)(6)(B)
- Regulation authority
- CCR
What the official deficiency says
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. (B) The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins. This requirement is not met as evidenced by: Deficient Practice Statement Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a hospice care plan for R2, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/28/2025 Plan of Correction Licensee agree to obtain a hospice care plan for R2 by POC due date 11/28/25
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(b)(1)
- Regulation authority
- CCR
What the official deficiency says
(b) Licensees shall be responsible for the following: (1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation: This requirement is not met as evidenced by: Deficient Practice Statement Based on (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have training for staff from hospice on how to care for R2 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/28/2025 Plan of Correction Licensee agrees to submit proof of hospice training for all staff by POC due date 11/28/25