FLOWERS FAMILY CARE

Official classification

Type A

Official code

87411(h)

Regulation authority

CCR

What the official deficiency says

All services requiring specialized skills shall be performed by personnel qualified by training or experience in accordance with recognized professional standards. This req is not met as evidenced by: Based on observation and interviews conducted, the licensee failed to ensure a licensed professional inserted resident's glucose monitoring device which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee states hospice will be inserting the device moving forward. Licensee to submit a detailed plan on how to address the situation should the resident come off hospice and forward proof to LPA by POC due date.

Deadline recorded: May 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) Licensees that lock exterior doors or perimeter fence gates shall meet the following initial and continuing requirements: (2) The licensee shall ensure that the fire clearance includes approval of locked exterior doors or perimeter fence gates and that facility staff on all shifts have access to, and know how to use, equipment needed to unlock exterior doors or perimeter fence gates. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed the exit gate is locked with a padlock which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2026 Plan of Correction Facility staff removed lock during the visit. Cleared during visit.

Official classification

Type B

Official code

87307(e)(1)(A)

Regulation authority

CCR

What the official deficiency says

(e) The licensee shall supervise residents as needed and as determined by the resident's appraisal pursuant to Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, when residents are in proximity to or when there is use of the following items: (1) Ranges, ovens, heaters, fireplaces, wood stoves, inserts, and other heating devices. (A) Heating devices shall have protective mechanisms or other measures to prevent access to the device, or to make it inoperable when not in use, in order to reduce the risk of burns or fire. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in two out of five cook top knobs do not have protective mechanisms on (photo) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction Licensee to obtain mechanisms for the remaining two knobs and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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 in four out of five residents without an updated physician report which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction Licensee to obtain physician reports and forward proof to LPA by POC due date.

Official classification

Type A

Official code

87608(a)(5)

Regulation authority

CCR

What the official deficiency says

Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. 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, the licensee did not comply with the section cited above in two out of two residents with full bed rails and are not accepted to hospice which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2025 Plan of Correction Licensee to remove bed rails and forward proof to LPA by POC due date.

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 in three out of three staff who do not have proof of required training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/23/2025 Plan of Correction Licensee to conduct training and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87456(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. 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 in three out of three residents without a pre-appraisal which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/23/2025 Plan of Correction Licensee to maintain pre-appraisals in the file and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87608(a)(3)

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. A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. 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 in two out of two residents without physician orders for bed rails which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/23/2025 Plan of Correction Licensee to obtain physician orders for bed rails and forward proof to LPA by POC due date.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins.. cleaning supplies and disinfectants. This requirement is not being met as evidenced by: Based on observation, Licensee failed to ensure vitamins/ supplements are secured. LPA observed vitamins/ supplements unsecured in R4's room. This poses an immediate health and safety risk to resident's in care.

Official plan of correction

Licensee to secure noted items and forward proof to LPA by POC due date.

Deadline recorded: Apr 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above. Facility is performing finger sticks/ glucose testing for Resident 3 which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2024 Plan of Correction Licensee to submit a plan for addressing the resident's glucose checks to LPA by POC due date.

Official classification

Type A

Official code

1569.695(c)

Regulation authority

CCR

What the official deficiency says

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 notrequired 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 observation, the licensee did not comply with the section cited above. Facility has not conducted emergency drills which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2024 Plan of Correction Licensee to conduct an emergency drill and forward proof to LPA by POC due date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed unsecured medications in the kitchen as well as the medication cabinet which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2024 Plan of Correction Licensee to secure medications and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not being met as evidenced by: Based on observation, Licensee failed to ensure proof of training is maintained in the personnel file. Three out of three staff do not have current training in the file. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to complete training for all staff and forward proof to LPA by POC due date.

Deadline recorded: Sep 28, 2023. A deadline is not proof that correction was completed.

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.. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours.. This requirement is not being met as evidenced by: Based on interviews conducted, Administrator failed to ensure that administrator coverage is sufficient for running the facility effectively. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to forward an updated LIC 500 with additional verifiable hours to be worked at the facility. Licensee to forward proof by POC due date.

Deadline recorded: Sep 28, 2023. A deadline is not proof that correction was completed.