Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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, as Staff#2 does not have cardiopulmonary resuscitation (CPR) training and first aid training, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/29/2025 Plan of Correction Licensee will ensure that Staff#2 will complete cardiopulmonary resuscitation (CPR) training and first aid training and send evidence of completion by email to LPA Singh by the Plan Of Correction(POC) due date.
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 conducting quarterly emergency/diaster/fire drill which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/29/2025 Plan of Correction Licensee will conduct quarterly emergency/diaster/fire drill and send the evidence by the Plan of correction POC due date.