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 observation and admission, R3 was in bed with a full bedrail and is not on hospice, which poses an immediate personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/30/2026 Plan of Correction During the inspection, the licensee replaced the full bedrail with a half bedrail and LPA confirmed. POC CLEARED.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(7)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, R5 and R6 are on the old form and do not include required information, including behavioral expressions, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Licensee stated they will obtain new physician's reports for these residents on the new form and submit proof to LPA by POC due date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(i)
- Regulation authority
- CCR
What the official deficiency says
(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the appraisals for R1, R5, and R6 are over a year old, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Licensee stated they will reassess these residents, submit proof to LPA by POC due date, and ensure all residents are reappraised yearly moving forward.