REDBUD CARE HOME

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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interview and record review, the licensee did not comply with the section cited above in that one medciation was outdated and no currant doctor order on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/15/2026 Plan of Correction Manager placed medication on discruction record log during LPA's visit and will destory medication.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 one out of four residents had no TB record on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/15/2026 Plan of Correction Manager will have the residents TB test completed. Manager will notify LPA when TB test is completed.

Official classification

Type A

Official code

87202

Regulation authority

CCR

What the official deficiency says

All facilities shall maintain a fire clearance approved by the city, or county, and county fire department...or the State Fire Marshal. This requirement is not met as evidenced by: Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a immedicate health and safety risk to residents in care

Official plan of correction

Licensee agrees to get Facility renovations cleared by the fire Marshal and provide clearance to LPA by 2/17/2022

Deadline recorded: Feb 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224

Regulation authority

CCR

What the official deficiency says

Eviction Procedures. (a) The licensee may evict a resident for one or more of the reasons listed ... This requirement was not met as evidenced by: one resident was moved after alterations and not given an approriate 60 day notice. This posed a potential risk to resident's personal rights.

Official plan of correction

Licensee agrees to submit a statement of understanding of this regulation to LPA by 10/01/2021

Deadline recorded: Feb 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the...This requirement is not met as evidenced by Based on LPA observation, licensee did not inform that facilty was reopened and took in four residents without fire inspection completed. This poses an as a immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees that a written plan will be submitted to Licensing stating how facility can ensure a written report is submitted to Licensing in the future by 02/17/2022

Deadline recorded: Feb 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87305(5)

Regulation authority

CCR

What the official deficiency says

Alterations to Existing Building or New Facilities (a)Prior to construction or alterations, all facilities shall obtain a building permit. This requirement was not met as evidence by: The licensee has made some alterations to the facility and did not seek approval from the licensing agency or the fire marshal, as required. This poses an as a potential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a floor plan to the licensing agency that indicates the physical floor plan changes. Licensee shall submit the floor plan to the licensing agency by 10/01/2021

Deadline recorded: Oct 1, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87202

Regulation authority

CCR

What the official deficiency says

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...or the State Fire Marshal. This requirement is not met as evidenced by: Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a otential health and safety risk to residents in care

Official plan of correction

Licensee agrees to get Facility renovations cleared by the fire Marshal and provide clearance to LPA by 10/01/2021

Deadline recorded: Sep 23, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224

Regulation authority

CCR

What the official deficiency says

Eviction Procedures. (a) The licensee may evict a resident for one or more of the reasons listed ... This requirement was not met as evidenced by: all residents were moved during facility alterations and not given an approriate 60 day notice. This posed a potential risk to resident's personal rights.

Official plan of correction

Licensee agrees to submit a statement of understanding of this regulation to LPA by 10/01/2021

Deadline recorded: Sep 23, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the... Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a otential health and safety risk to residents in care

Official plan of correction

Licensee stated that a written plan will be submitted to Licensing stating how facility can ensure a written report is submitted to Licensing and Responsible Party of residents in the future by 10/01/2021

Deadline recorded: Oct 1, 2021. A deadline is not proof that correction was completed.