JESSIE COURT CARE HOME

Official classification

Type B

Official code

87465(h)(6)(A)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: Deficient Practice Statement During review of 5 out of 5 resident Centrally Stored Medication and Destruction Records (CSMDRs), Licensee did not ensure that 2 out of 5 residents had medications which were not completely recorded (R1 had one medication missing a prescription number and R2 had four missing medications), which poses a potential health risk to residents in care.

Official plan of correction

POC Due Date: 10/22/2025 Plan of Correction Licensee agrees to conduct in-service training of staff regarding ensuring that a record of all centrally stored medications is maintained. Licensee shall submit training records to the department by Plan of Correction Due date of 10/22/2025. The training records shall include names of staff trained, training dates, training topics, and names and qualifications of trainers.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87468.1 Personal Rights (a)(2) Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interview and record review, Licensee did not provide the necessary care and supervision to meet R1's care needs, which resulted in R1's elopement from the facility on 1/24/2025, which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrator stated to submit a plan of correction by the POC due date to provide the training to staff to provide care and supervision to meet residents' needs and to provide the staff training log.

Deadline recorded: Feb 6, 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) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, (1) A written report shall be submitted to the licensing agency ... within seven days of the occurrence ...(D)Any incident which threatens the welfare, safety or health of any resident ... The requirement was not met as evidenced by: Based on the records reviewed, Administrator did not send the incident report of resident R1 was sent to hospital within 7 days of the incident occurrence, this poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator stated to read the regulation and send plan of correction by the POC due date to ensure the facility to send incident report to CCL office in timely manner.

Deadline recorded: Nov 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the cabinet under the sink in kitchen was observed unlocked, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2023 Plan of Correction Licensee stated to submit a plan of correction by the POC due date to add a new lock for the cabinet under the sink where the detergents were stored.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, 3 window screens were observed not in good repair, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/01/2023 Plan of Correction Licensee stated to submit a plan of correction by the POC due date to fix the 3 window screens of the bedrooms.