CHEROKEE RETIREMENT HOME INC

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

Administrator Qualifications and Duties. (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on interviews and record reviews, Licensee/Administrator did not adhere to eviction regulations as specified in section 87224 Eviction Procedures. This posed a potential health and safety risk to residents in care.

Official plan of correction

Licensee and Administrator will read regulation 87224 and submit a signed declaration of understanding to LPA by POC due date.

Deadline recorded: Apr 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87755(b)

Regulation authority

CCR

What the official deficiency says

Inspection Authority of Licensing Agency (b) The licensee shall ensure that provisions are made...for the examination of all records relating to the operation of the facility. This requirement was not met as evidenced by: Based on record review, Administrator did not ensure requested information regarding resident whereabouts in a timely manner. This posed a potential health and safety risk to residents in care.

Official plan of correction

Licensee will read reguation 87755 and provide a written declaration of understanding to LPA by POC due date.

Deadline recorded: Apr 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

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 record review, the licensee did not comply with the section cited above in 1 out of 6 resident files reviewed. R6 file does not contain a physician's report or other evidence of a medical assessment to comply with above section since admission in April 2024, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/17/2024 Plan of Correction Licensee to obtain updated physician's report for R6 and submit copy to LPA by POC due date. Licensee to conduct audit of all resident files to ensure updated and accurate physician reports are present. Licensee to send results of completed audit to LPA by POC due date.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 5 out of 6 resident files reviewed. R1, R2, R3, R4, and R5 files did not contain updated yearly reappraisals or other evidence of compliance with the above section which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/17/2024 Plan of Correction Licensee to complete required updated re-appraisal forms for R1-R5 and send completed copies to LPA by POC due date. Licensee to conduct chart audit of all resident files to ensure accurate and updated re-appraisals. LIcensee to send completed audit form to LPA by POC due date.