Allegations3 substantiated · 2 unsubstantiated · 0 unfounded · 3 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(a)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on interviews conducted and photo documentation, the Licensee did not ensure that (R1) was provided with meals and snacks, as stated in the Admission Agreement and per resident's special diet requirement, per the physician's report, which posed a potential health and safety risk to residents in care.
Official plan of correction
Licensee/Administrator agree to watch an audio training on nutritious diet, including for diabetes, and submit a menu and snack schedule by 3/7/25.
Deadline recorded: Mar 7, 2025. A deadline is not proof that correction was completed.
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(2)
- Regulation authority
- CCR
What the official deficiency says
87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This requirement is not met as evidenced by: Based on interviews conducted, the LIcensee did not ensure that (R1) was provided with regular incontinent care during the awake hours and during the night on at least (1) occasion after (R1) had lose stool, which posed a potential health and safety risk to residents in care.
Official plan of correction
Licensee/Administrator agree to conduct staff training on how/when to document when incontinent care is provided. Submit proof of training and form to be used by 3/7/25. Administrator to submit additional documentation of incontinent changes provided.
Deadline recorded: Mar 7, 2025. A deadline is not proof that correction was completed.
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(d)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services - (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not ensure that (R1) received regular bathing, at least twice weekly, and when needed, which posed a health and safety risk to residents in care.
Official plan of correction
LIcensee/Administrator agree to start documenting when a shower is given or refused- signed by staff and the resident. Training to be conducted with all staff and Admin to submit documentation of how the showers will be documented by 3/7/25.
Deadline recorded: Mar 7, 2025. A deadline is not proof that correction was completed.