Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87459(a)(7)(D)
- Regulation authority
- CCR
What the official deficiency says
87459 Functional Capabilities (a) The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to: (7) Physical condition, including: (D) Walking with or without equipment or other assistance. This requirement was not met as evidenced by: Based on interviews and records, facility did not have a fall prevention in place for R1 who requires max assist for all ADLs and mobility which poses a potential Health, Safety, and/or Personal Rights risk to persons in care.
Official plan of correction
Administrator Cruz stated a plan will be developed, proof of in-service with staff, and submit an Acknowledgement of Understanding of the said regulation to LPA via email by POC due date.
Deadline recorded: Aug 25, 2026. A deadline is not proof that correction was completed.
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical Needs (a)(1) - The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based on interviews and record review, facility did not seek medical attention for R1 due to R1 being on hospice which poses a potential Health, Safety, and/or Personal Rights risk to persons in care.
Official plan of correction
Administrator Cruz stated proof of an in-service training reviewing PIN 25-06-ASC regarding placing 911 calls in the event of an incident/emergency for hospice residents and an Acknowledgement of Understanding of the said deficiency will be submitted to LPA by POC due date.
Deadline recorded: Aug 25, 2026. A deadline is not proof that correction was completed.