LOVELY CARE HOME

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities(a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews conducted, facility staff S1-S3 and ADM admitted to putting multiple diapers on resident R1 and R2. S1, S2 and ADM admitted that R1 feet were tied. This poses an immediate threat to residents health, safety and personal rights.

Official plan of correction

ADM stated the facility will not use multiple diapers on the resident. ADM stated if a resident is being combative, staff will give resident time to calm down and redirect his/her behaviors. ADM stated she shall provide training to staff training regarding personal rights. ADM stated will consult medical doctor to address behavior. ADM stated she will submit the written plan of correction to LPA by POC due date, December 9, 2025.

Deadline recorded: Dec 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.50(a)(3)

Regulation authority

HSC

What the official deficiency says

1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, staff S1, S2 and ADM admitted that resident R1 feet were tied because he/she was being combative when he/she was being changed. This poses an immediate threat to residents health, safety and personal rights.

Official plan of correction

ADM stated she will conduct a personal rights training with her staff. ADM stated she will send documentation of the training with the following information: who participated, who conducted the training, duration of the training, what materials were used. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.

Deadline recorded: Aug 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) (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 conducted, ADM admitted to tying R1’s feet, due to R1 being combative when he/she is being changed and the deficiencies cited during this complaint investigation. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will also send a letter of understanding regarding the regulation and her duties and responsibilities as administrator, which includes respecting residents personal rights not be tied or restrained. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.

Deadline recorded: Aug 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, … shall be updated in writing as frequently as necessary … keep the appraisal accurate… This requirement was not met as evidenced by; Based on records reviewed, resident R1’s ANS does not address R1’s combative behavior when he/she is being changed. The ANS also does not detail R1’s incontinence plan. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will develop an updated care plan, to address R1's combative behavior when he/she is being changed, without restraining or tying. ADM stated the updated care plan will also detail R1's updated incontinence plan. ADM stated she will send the updated care plan to LPA by POC date, August 29, 2025.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: Based on interviews conducted, facility staff admitted that R1 was tied and they should have reported it. Based on records reviewed, the facility did not submit an incident report for the incident where R1 was tied. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will conduct a training regarding reporting requirement. ADM stated she will submit documentation this training took place by POC date, August 29, 2025. ADM stated she will send a letter of understanding regarding the regulation, and the importance of reporting any incident which threatens the welfare, safety or health of any resident. ADM stated she will send the plan of correction by POC date, August 29, 2025.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.50(a)(3)

Regulation authority

HSC

What the official deficiency says

1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, staff S1, S2 and ADM admitted that resident R1 feet were tied because he/she was being combative when he/she was being changed. This poses an immediate threat to residents health, safety and personal rights.

Official plan of correction

ADM stated she will conduct a personal rights training with her staff. ADM stated she will send documentation of the training with the following information: who participated, who conducted the training, duration of the training, what materials were used. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.

Deadline recorded: Aug 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) (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 conducted, ADM admitted to tying R1’s feet, due to R1 being combative when he/she is being changed and the deficiencies cited during this complaint investigation. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will also send a letter of understanding regarding the regulation and her duties and responsibilities as administrator, which includes respecting residents personal rights not be tied or restrained. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.

Deadline recorded: Aug 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, … shall be updated in writing as frequently as necessary … keep the appraisal accurate… This requirement was not met as evidenced by; Based on records reviewed, resident R1’s ANS does not address R1’s combative behavior when he/she is being changed. The ANS also does not detail R1’s incontinence plan. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will develop an updated care plan, to address R1's combative behavior when he/she is being changed, without restraining or tying. ADM stated the updated care plan will also detail R1's updated incontinence plan. ADM stated she will send the updated care plan to LPA by POC date, August 29, 2025.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: Based on interviews conducted, facility staff admitted that R1 was tied and they should have reported it. Based on records reviewed, the facility did not submit an incident report for the incident where R1 was tied. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated she will conduct a training regarding reporting requirement. ADM stated she will submit documentation this training took place by POC date, August 29, 2025. ADM stated she will send a letter of understanding regarding the regulation, and the importance of reporting any incident which threatens the welfare, safety or health of any resident. ADM stated she will send the plan of correction by POC date, August 29, 2025.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608(a)(3) Postural Supports. A written order from a physcian indicating the need for the postural support shall be maintained in the resident's record. 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 in 5 out of 5 residents have either half-side rails or grab bars attached to their bed without a written order from a physician, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2023 Plan of Correction Licensee stated they will submit a written order from a physician for R1-R5. Licensee will submit a written plan on facility's policy and procedure on obtaining a written order from physician for half-side rails and grab bars by the POC date.