STERLING SENIOR COMMUNITY 7

Official classification

Type B

Official code

87465(h)(6)(C)

Regulation authority

CCR

What the official deficiency says

87465(h)(6)(C)Incidental Medical and Dental Care The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident...and includes: The drug name, strength and quantity This requirement is not met as evidenced by: Miralax for R7 was observed at the facility. No Centrally stored and medication list was available for R7 to review which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated medication documentation in-service training will be conducted staff. AD to provide proof of training to LPA by POC date.

Deadline recorded: May 15, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(e)

Regulation authority

CCR

What the official deficiency says

87506(e) Resident Records Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement is not met as evidenced by: R7's centrally stored medication and destruction record is no longer available. R7 discharged from the facility on 10/14/2024 which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated records for resident will be backed up by USB and retained for at least three years after the resident discharges. AD to submit a statement of acknowledgement of the regulation and inform LPA when backup is completed.

Deadline recorded: May 15, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87207

Regulation authority

CCR

What the official deficiency says

87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by: AD made a false statement regarding CPR training for S1 to the Department. AD falsified the CPR training record on behalf of S1 which poses an immediate health and safety risk to persons in care.

Official plan of correction

AD stated he will sign a statement of understanding, indicating the acknowledgement of the false statements and documents, the understanding of the regulation, and will submit the signed to LPA by POC due date.

Deadline recorded: Apr 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411(c)(1) Personnel Requirements Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: S1 and S2 are the day shift weekend staff. Neither has verifiable CPR/First Aid training which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated S1 and S2 will complete First Aid/CPR training that is verifiable and submit proof to LPA by POC due date.

Deadline recorded: May 8, 2026. A deadline is not proof that correction was completed.

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 record review, the licensee did not comply with the section cited above, which poses a potential health and safety risk to persons in care. LPA observed three out of five staff records missing initial training and/or annual training.

Official plan of correction

POC Due Date: 08/05/2025 Plan of Correction Administrator stated staff training on postural supports, restricted health conditions, and hospice care will be conducted and proof provided to LPA via email by POC date.

Official classification

Type B

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 record review and interview, the licensee does not have bedrail orders for two out of three residents receiving Hospice care, which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed one out of three full bedrail orders for residents in care and administrator stated additional bedrail order were requested of Hospice during the inspection

Official plan of correction

POC Due Date: 08/05/2025 Plan of Correction Administrator stated proof of all three full bedrail orders will provided to LPA via email by POC date.