TAHOE, THE

Official classification

Type B

Official code

87307(a)(3)(C)

Regulation authority

CCR

What the official deficiency says

87307(a)(3)(C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths…The linen shall be in good repair. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the regulation noted above. During bedding inspection of one resident, it was discovered that plastic garbage bags were being used as pillow protectors for resident's pillow which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Corrected prior to this visit: Licensee purchased pillow protectors for residents in care.

Deadline recorded: May 22, 2024. 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 record review and interview, the licensee did not comply with the section cited above. During medication review, LPA observed 1 out of 2 bottles of prescription medication of one resident contains the wrong label which does not match with the current physician’s prescription, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/18/2023 Plan of Correction Corrected during this visit: Licensee conducted medication destruction to one of two bottles of medication. Licensee to submit a statement of understading of the CCR 87465(h)(4) to the Department by POC due date. {This is an amended version of the report originally created on 12/18/2023}

Official classification

Type A

Official code

87465(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. (2) The exact dosage. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above where during medication review, LPA observed that 1 out of 3 residents were being given the incorrect dosage of a prescribed PRN, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2023 Plan of Correction Licensee to obtain the correct dosage of resident's medication by POC due date. Licensee to submit a photo of the correct medication to the Department by POC due date. Licensee to submit a statement of understanding of CCR 87465(e)(2) to the Department by POC due date.