CARE MARSTEL 1

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the facility does not have doctor's orders for R3's multivitamin, loratadine, and DGL licorice, and R4's calcium and astaxanthin, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/13/2026 Plan of Correction Licensee stated they will stop administering these medications and will obtain doctor's orders for these medications and supplements and submit proof to LPA by POC due date.

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 report for R1 is on the old form and the physician's report for R3 is on the incorrect form, and neither contains required information, including behavioral expressions, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/13/2026 Plan of Correction Licensee stated they will obtain new physician's reports on the new form for these residents and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the facility has not been maintaining emergency disaster logs documenting emergency disaster drills conducted, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 08/07/2025 Plan of Correction Licensee stated they will conduct an emergency disaster drill, document the drill on a log showing the date, time, type of emergency, participants, and description of the drill and submit proof to LPA by POC due date.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services. Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). " Care and Supervision means the facility assumes responsibility for, or provides or promises to provide the future, ongoing assistance with activities of daily living without which the resident's physical health, mental health, safety or welfare would be endangered. This requirement was not met as evidenced by: Based on interviews and records reviewed, facility failed to provide adequate care and supervision to R1 who had a history of suicidal ideation...

Official plan of correction

Licensee to conduct in-service training with all staff on section cited and submit proof to CCL by 11/08/2024 Facility had knowledge of R1’s history of suicidal attempts yet was handed razors to use without supervision, which poses an immediate health and safety risk to persons in care.

Deadline recorded: Nov 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

Storage Space - (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to Residents shall be stored where inaccessible to Residents. This requirement was not met as evidenced by: Based on interviews and records reviewed, facility staff would hand R1 a razor and failed to take the razor back from R1 making it accessible, which poses an immediate health and safety risk to the resident in care.

Official plan of correction

Licensee to conduct in-service training with all staff on section cited and submit proof to CCL by 11/08/2024

Deadline recorded: Nov 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and admission, the facility's fire clearance shows one large staff bedroom on the second floor but the facility divided the bedroom into four staff bedrooms without obtaining a new fire clearance, which poses an immediate safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 07/09/2024 Plan of Correction Licensee stated they will request a new fire clearance approving the second floor to have four staff bedrooms by POC due date.

Official classification

Type B

Official code

87468(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities shall be posted as applicable to the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility does not have the personal rights posted, which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/05/2024 Plan of Correction Licensee stated they will print and post LIC 613C-2 and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure the medications of 6 out of 6 residents were tracked by not using a Medication Administration Record (MAR), which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 08/05/2024 Plan of Correction Licensee stated they will immediately start using a MAR for each resident and will submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.695(f)(1)

Regulation authority

HSC

What the official deficiency says

(f) A facility shall have both of the following in place: (1) An evacuation chair at each stairwell, on or before July 1, 2019. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and admission, the facility has two stories with only staff living upstairs but does not have an evacuation chair, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 08/05/2024 Plan of Correction Licensee stated they will purchase and install an evacuation chair and submit proof to LPA by POC due date.