PENINSULA ELDERLY CARE HOME-LAUREL LLC

Official classification

Type B

Official code

1569.695(a)(1)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (1) Evacuation procedures, including identification of an assembly point or points that shall be included in the facility sketch. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee failed to provide a copy of the facility's evacuation procedures, including identification of an assembly point or points that shall be included in the facility sketch, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2025 Plan of Correction Licensee to provide a copy of the facility sketch and evacuation plan to the Department by the POC due date. Licensee will also conduct a training regarding the evacuation plan with staff.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608(a)(3) 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: Deficient Practice Statement Based on record review, the licensee failed to maintain a written order from a physician indicating the need for half bed rails for mobility for R1, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/30/2025 Plan of Correction Licensee to provide a copy of written orders indicating the need for the half bed rails for R1 to the Department by the Plan of Correction due date. Deficiency cleared during visit.

Official classification

Type B

Official code

87465(c)

Regulation authority

CCR

What the official deficiency says

Incidential Medical and Dental Care: (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met... Violation of this regulation is evidenced by: Based on interviews condcuted and information collected, R1 was unable to manage his/her own medication so facility staff would ensure medication was being taken, however it was acknowledged that S1's medication was found on the floor. In addition, interviewed staff admitted that the caregivers made a mistake.

Official plan of correction

Licensee conducted an in-service training after this incident occurred. Deficiency was cleared and a copy of the in-service training was provided.

Deadline recorded: Nov 8, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times... Violation of this regulation is evidenced by: Based on interviews conducted and information collected, it was acknowledged by staff that the facility did have an ant problem.

Official plan of correction

The facility contacted pest control and took care of the issue. Deficiency was cleared-- Licensee provided previous LPA with copy of the pest control receipt.

Deadline recorded: Nov 8, 2022. A deadline is not proof that correction was completed.