STERLING SENIOR COMMUNITY 9

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303(a) Maintenance and Operation The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: LPA observed audio exit alarm across from room 5 not operational which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated battery have been ordered and will be replaced. AD to provide proof to LPA by POC due date.

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

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: Hydrocortisone cream for R1 was not listed the R1's Centrally Store Medication and Destruction record which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated centrally store medication list will be updated with current medications. In-service training will be provided to staff and proof will be sent to LPA by POC due date

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care 87465(a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. The requirement is not met as evidenced by: R1 has a prescription for two creams used daily that are not availabled at the facility which poses an immediate health and safety risk to persons in care.

Official plan of correction

AD stated creams will be ordered and adminstered to R1. In service training will be completed and proof sent to LPA by POC due date.

Deadline recorded: Apr 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(1)

Regulation authority

CCR

What the official deficiency says

87608(a)(1) Postural Supports Postural supports shall be... used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement This requirement is not met as evidenced by: LPA observed R1 with a restraint while in their wheelchair, preventing R1 from standing which poses an immediate health and safety risk to persons in care.

Official plan of correction

Staff removed the restraint from R1's wheelchair. AD stated in-service training will be conducted will all staff working at the facility indicating the restraint cannot be used.

Deadline recorded: Apr 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

87608(a)(5)(B) Postural Supports 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: LPA observed R2 with full bed rails. R2 is not on hospice. R2 may only have half bed rails which poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated full bed rails will be removed from R2's bed and replace with half rails

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type B

Official code

87608(a)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 in two out of five staff records, which poses a potential risk to residents in care. S1 and S2 were not associated to the facility at the time of the inspection. Two Civil Penalties are Assessed.

Official plan of correction

POC Due Date: 10/04/2025 Plan of Correction Licensee associated S1 and S2 during visit and LPA observed records to confirm.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not compy with the section cited above in three out of three resident bathrooms where hot water temperatures measured between 122.5 and 132.9 degrees F. This poses an immediate risk to persons in care.

Official plan of correction

POC Due Date: 10/04/2025 Plan of Correction Licensee adjusted water temperatures in all bathrooms during visit and LPA tested measurments to confirm.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's ..... Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. 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 for 3 of 6 residents, poses a potential health, safety and personal rights risk to persons in care. LPA observed R1 had 1/2 bed rails installed on bed without Physicians order, R2 had a Physican's order for a 1/2 rail and did not have bedrails installed. Record review and interview revealed licensee did not have a written order from a physician in residents' files. LPA observed R3 had a full bed rail installed on bed, and record review revealed there is a physician's order for a 1/2 rail and R3 is not on hospice. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2025 Plan of Correction Licensee to remove the bed rails for R1 and obtain physician orders for 1/2 bedrails, install 1/2 bedrail for R2 per Physician's order, and submit proof to CCL by 10/10/2025. During visit, licensee removed full bedrail for R3 and installed 1/2 rail on bed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

All facilities shall have a qualified and currently certified administrator. 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, in that the Administrator does not have a current valid certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/04/2024 Plan of Correction Licensee agrees to hire or designate a certified Administrator with a valid Administrator's certificate or to complete the requirements to be issued an Administrator's Certificate from the Agency.

Official classification

Type B

Official code

87608(a)

Regulation authority

CCR

What the official deficiency says

Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. (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, interview, and record review, the licensee did not comply with the section cited above in that 5 of 6 Residents had 1/2 bed rails and no written order from a physician were found in files. One Resident had a full bed rail and is not on hospice. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee to remove the bed rails and/or obtain physician orders for half-bed rails if there is a need and submit proof to CCL by 11/08/2024.