CORONA RESIDENTIAL CARE CENTER LLC

Official classification

Type A

Official code

87465(4)

Regulation authority

CCR

What the official deficiency says

87465(4) Incidental Medical and Dental Care (4) The licensee shall assist residents with self-administered medications as needed. This requirement wasn't met as evidenced by: Based on interviews, record review, and medication audit, which poses an immediate health, safety or personal rights risk to persons in care

Official plan of correction

The Administrator has agreed to conduct an in-service training on medication to staff. A copy will be provided to LPA Rico. POC due date 5/26/2026

Deadline recorded: May 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in that facility staff were writing the start date of residents' medications on the prescription label which posed a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction Licensee agrees to conduct an in-service training on the topic of medications and submit the training agenda and sign-in sheet to the Department by POC date of 11/21/2025.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more...This requirement was not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by not ensuring that staff seek immediate medical attention for Resident #1 (R1) after a fall which pose immediate health, safety, and personal rights risk to resident in care.

Official plan of correction

Licensee stated to train all staff on CCR 87411(a) and submit proof of all staff training log to LPA Brown by the Plan of Correction (POC) due date.

Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by... The plan shall encourage routine medical and dental care and provide for assistance...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs...This requirement was not met as evidenced by: Based upon interviews and records review, R1 did not receive dental care since moving in at the facility on 2017 nor R1 assisted with receiving dental care as needed due to R1 mental health condition which pose a potential health, safety, and personal rights risk to resident in care.

Official plan of correction

Licensee stated to train all staff on CCR 87465(a)(1) and submit proof to LPA Brown by the Plan of Correctio (POC) due date. Licensee stated that R1 had a dentist appointment on 01/23/2025.

Deadline recorded: May 27, 2025. A deadline is not proof that correction was completed.

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...This requirement was not met as evidenced by: Based on interview and records review, R1 sustained ankle fracture at facility which were not observed nor was R1 assisted with receiving care as needed which pose immediate health, safety, and personal rights risk to resident in care.

Official plan of correction

Licensee stated to train all staff on CCR 87466 and submit proof of all staff training log to LPA Brown by the Plan of Correction (POC) due date.

Deadline recorded: May 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient...This requirement was not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by not ensuring that there are sufficient number of staffs to provide the services necesary to R1 needs which poses an immediate health, safety and personal rights risk to resident in care.

Official plan of correction

Licensee stated to submit Personnel Report/Staff Schedule showing sufficient number of staffs working at the facility to provide the services necessary to meet residents that require two person assist and two person transfer to LPA Brown by the POC due date.

Deadline recorded: May 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

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 observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that staffs at the facility are assisting Resident #1 (R1) and Resident #4 (R4) with their two (2) medications per their physician's order which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2024 Plan of Correction Licensee stated to train all staff on CCR 87465(a)(4) and submit proof of training log to LPA Brown on Plan of Correction (POC) due date.

Official classification

Type A

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (R2) Physician Report was complete upon admission to the facility as evidenced of R2 physician report does not have the required physician signature date which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2024 Plan of Correction Licensee stated to train all staff on CCR 87458(a) and submit training log to LPA Brown on POC due date. Also, Licensee will submit a copy of R2's completed physician report to LPA Brown on POC due date.

Official classification

Type B

Official code

87555(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (15) All persons engaged in food preparation and service shall observe personal hygiene and food services sanitation practices which protect the food from contamination. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that two (2) kitchen staff - Staff #6 (S6) and Staff #7 (S7) have an updated food handler certification which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee stated to submit copies of two (2) kitchen staff - S6 and S7 updated food handlers certification to LPA Brown on Plan of Correction (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 observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #3 (R3) have a completed Pre-Admission Appraisal which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee stated to train all staff on CCR 87456(a)(2) and submit a training log to LPA Brown on POC due date.

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1), Resident #2 (R2) and Resident #5 (R5) have the required Preplacement Needs and Services Plan/Care Plan which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee stated to train all staff on CCR 87457(c) and submit training log to LPA Brown on Plan of Correction (POC) due date.

Official classification

Type B

Official code

87507(c)

Regulation authority

CCR

What the official deficiency says

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #5 (R5) Admission Agreement was signed by the Licensee/Administrator/Designee which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee stated to train all staff on CCR 87507(c) and submit training log to LPA Brown on POC due date.

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Resident #5 (R5) and Resident #6 (R6) to have half bed rail and not ensuring that there's a written order from their physician inidicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee stated to obtain a written order from R5 and R6 physician indicating the need for half bed rail for mobility and submit copies to LPA Brown on Plan of Correction (POC) due date or remove R5 and R6 half bed rail and submit proof to LPA Brown on POC due date.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall... (4) The licensee shall assist residents with self-administered medications... This requirement is not met as evidenced by:Based on interview and records review, the Licensee did not comply with the section cited above by not ensuring that staff are providing the required medication assistance to Resident #1 (R1) as prescribed by R1 physician which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee has agreed to conduct Medication Training on CCR 87465(a)(4) to all staffs dispensing medications to residents and submit proof to LPA Brown on Plan of Correction (POC) due date.

Deadline recorded: Sep 23, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced based on interview and document review, the licensee did not comply with the section cited above evidenced by the staff not providing medication assistance to R1 which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

The licensee has agreed to read regulation 87465 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to conduct a medication training with the staff and send LPA proof of attendance by the POC due date. POC is due by 4/16/2024.

Deadline recorded: Apr 16, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(1)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities:(1) Sufficient room shall be available to accommodate persons served in comfort and safety. Based on interview, observation, and document review, the licensee did not comply with the section cited above evidenced by not providing a bedroom with accommodations for their basic bathroom needs which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

The licensee has agreed to read regulation 87307 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to move R1 to a bedroom that accommodates R1’s basic bathroom needs by the POC due date. POC is due by 10/17/2023.

Deadline recorded: Oct 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80087(g)

Regulation authority

CCR

What the official deficiency says

80087-Buildings and Grounds (g)(g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidence by: Based on interviews and record review the licensee did not comply with the section cited above by not having the cleaning supplies locked and unaccessable to residents in care which poses immediate health,safty and personal rights risk to residents in care.

Official plan of correction

Licesseed stated will train all staff on CCR 80087(g) and submit training log to LPA Allen by 8/17/2022 POC date. Licensee will submit a written statement of understanding on CCR 80087(g) to LPA by POC date.

Deadline recorded: Aug 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(b)(2)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation:A comfortable temperature for residents shall be maintained at all times.The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not met as evidence by: LPA observed multiple thermostats to be set between 73 degrees F and 76 degrees F. This poses a potential risk to residents in care.

Official plan of correction

Licensee shall read the regulation in its entirety and submit a statement of understanding to CCL by the POC due date of 7/28/2022.

Deadline recorded: Jul 28, 2022. A deadline is not proof that correction was completed.