Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation the licensee did not comply with the section cited above in two of two bathrooms which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/08/2026 Plan of Correction AD will email/text LPA a photo of the temperature in two of two resident bathrooms by POC due date.
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and RM's observations, interviews and Medication Administration Record review, the licensee did not comply with the section cited above in one of five residents which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/08/2026 Plan of Correction AD communicated with home health nurse to discard over-the-counter medications. AD will inservice staff members on medication documentation and storage and will email LPA by POC due date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and RM file review, the licensee did not comply with the section cited above in one of five residents which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/06/2026 Plan of Correction Administrator will obtain updated Medical Assessment by Plan of Correction date for one of five residents. AD will email LPA by POC date.