Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on record review R1 sustained a pressure injury while in care which posed an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agrees to attend a training from an outside agency with all care staff on skin care and repositioning residents. The training date to be submitted into LPA on 5/05/23. Once training is complete, administrator to send into LPA subject matter of the training and sign in sheet of who attended the training.
Deadline recorded: May 5, 2023. A deadline is not proof that correction was completed.
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87615(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee obtained resident (R1) with a prohibited health condition, without an approved exception, which posed an immediate health and safety risk to residents in care.
Official plan of correction
Administrator agrees to review 87615 prohibited health conditions. Administrator to submit a statement of understanding of what prohibited conditions are not permitted at the facility.
Deadline recorded: May 5, 2023. A deadline is not proof that correction was completed.
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Based on record review and interviews, the licensee failed to report incident to responsible party which poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agrees to provide a training to all care staff concerning reporting requirements. Administrator to send into LPA subject matter of training and sign in sheet of who attended the training by 5/12/23.
Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.