AMY'S RESIDENTIAL CARE, INC.

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....(1) A written report shall be submitted to the licensing agency ...within seven days of the occurrence of the events ...(D)Any incident which threatens the welfare, safety or health of any resident, This requirement was not met as evidenced by: Based on the interviews and records reviewed, the facility did not submit R1's incident report to community licensing office when R1 sustained eye injury on 2/14/2023 or 2/15/2023 which poses a potential health, and safety risk to persons in care.

Official plan of correction

Administrator stated he/she will to submit plan of correction by the POC due date to ensure the facility staff to send the incident report to community licensing office within 7 days of the occurrence of incidents..

Deadline recorded: Nov 1, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a)A plan for incidental medical and dental care shall be developed ...(1) The licensee shall arrange ...for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interview and record reviewed, R1 sustained an eye injury on 2/14/2023 or 2/15/2023, R1's eye worsen before the scheduled eye doctor appointment. The facility did not seek for timely medical attention for resident R1 which poses an immediate health, and safety risk to persons in care.

Official plan of correction

Administrator stated he/she will submit plan of correction by the POC due date to ensure staff to seek for timely medication attention and arrange doctor appointment for resident.

Deadline recorded: Oct 26, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review & interview, the licensee did not comply with the section cited above in 3 Out of 3 resident records reviewed. LPA requested to review R1-R3's weight records. ADM stated she only measures the residents weight when they go to their annual doctors visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/07/2024 Plan of Correction ADM stated she will send a plan of action on how the facility will track the residents weight. ADM stated she will send plan of action to LPA by POC date.

Official classification

Type B

Official code

87207

Regulation authority

CCR

What the official deficiency says

87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. 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. . R2's medication #1 was a pill short. R3's medication #1 had an excess of 4 medications, but their MAR showed no refusals. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/07/2024 Plan of Correction Administrator will submit a written plan on understanding regulations and schedule in-services and training to staff by POC date. Administrator agreed and understood.