A HEARTY CARE HOME IV

Official classification

Type B

Official code

87506(e)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement is not met as evidenced by: Based on observations and records reviewed, the facility did not ensure to maintain resident (R1’s) records for a minimum of three (3) years as they could not provide R1’s records to LPA by the conclusion of their inspection, which poses a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding regulation 87506 and submit statement to LPA by POC due date of September 11, 2026.

Deadline recorded: Sep 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(h)(4)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (h) The admission agreement shall not contain the following: (4) Any provision that violates the rights of any residents including but not limited to those specified in Section 87468 and in Health and Safety Code section 1569 et seq. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that admission agreements for the residents did not violate rights indicated in Health and Safety Code section §1569.652(c), which poses a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Facility will update Admissions Agreement Addendums for all residents and ensure that there is nothing included that violates any rights specified in Section 87468 and in Health and Safety Code section 1569 et seq. Facility will submit updated Admissions Agreement Addendums to LPA by POC due date of September 11, 2026.

Deadline recorded: Sep 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) 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 LPA's observations, facility did not ensure that all medications were kept in a locked storage inaccessible to the residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/27/2024 Plan of Correction Facility placed all medications in a locked storage during visit. Facility will ensure that medications on the premises are kept locked and inaccessible to the residents in care at all times. Facility will conduct an in-service training regarding storage of medications and submit to LPA training materials and date of training by POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on LPA's observation, facility did not ensure that knives and cleaning products were inaccessible to residents in care, which poses an immediate health, safety, and personal rights risk to the residents in care.

Official plan of correction

Facility will ensure that all hazardous items are locked and inaccessible to the residents in care at all times. Administrator will complete a statement of understanding regarding regulation 87309 and submit to LPA by POC due date of 3/7/2024.

Deadline recorded: Mar 7, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on (...) each employee. Each personnel record shall contain (...) (11) A health screening as specified in Section 87411 (...). This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that 2 of 4 staff records included a health screening, which poses a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Facility will obtain health screenings for all staff. Facility will submit a copy of each employee's health screening to LPA by POC due date of 4/4/2024.

Deadline recorded: Apr 4, 2024. A deadline is not proof that correction was completed.