ADVENT RESIDENTIAL HOME

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports : (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Based on observation and record review, LPA observed Resident 2 (R2) who resides in Room 2 to have a half bed rail without an order from physician which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/administrator shall remove half bed rail until R2's physician provides a written order for the half bed rail.

Deadline recorded: Dec 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do... Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include... limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care... This requirement is not met as evidenced by: Based on observations and record review, Resident 3 (R3) who resides in room 3 and resident 6 (R6) who residents in room 6 were observed to have full bed rails, however both residents are no on hospice which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/administrator shall remove the full bed rails from both R3 and R6's bed and consult with appointed physician to discuss other options for R3 and R6. Licensee/administrator shall submit a plan in writing on how to ensure R3 and R6's needs are met without full bed rails.

Deadline recorded: Dec 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, water temperature throughout the facility measured between 126-134 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2025 Plan of Correction Licensee/administrator to adjust water heater and send LPA a photo/video of water temperature within regulatory requirements.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, LPA observed S1 cooking in the kitchen during the visit, however after record review, S1 does not have fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2025 Plan of Correction Licensee/administrator shall remove S1 from the facility until S1 is fingerprint cleared and associated to the facility.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on 6/6 resident records reviewed, service plans are not being updated frequently as necessary or annually, whichever occurs first which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/18/2025 Plan of Correction Licensee/administrator shall submit a plan in writing on how to ensure service plans are either being updated as needed or once every 12 months (whichever comes first).

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 staff records reviewed, 3/5 staff members providing care and supervision to residents at the facility have expired first aid/CPR training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2025 Plan of Correction Administrator shall submit training enrollment for the CPR training/ First aid training for all three staff members by 1/9/24

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, water temperature throughout the facility measure between 100-123 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/15/2025 Plan of Correction Administrator to ensure facility water temperature is within 105-130 degrees F and provide LPA photos for proof