Allegations3 substantiated · 4 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)
- 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 by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. (2) The licensee shall provide assistance in meeting necessary medical and dental needs. This requirement was not met as evidenced by: record review of centrally stored log pain managment medication(Morphine) perscribed as routine and prn, and record review of MAR showing PRN distribution only, per interview with administrator there is no controlled substances log for the morphine, per hospice nurse, client r1 was frequently discovered expressing pain symptoms prior to services. Not following this requirement poses a risk to the health safety or personal rights to clients in care.
Official plan of correction
LPA is suggestign that a inventrory of controlled substances currently in the facility be taken and logged, by the poc date 8/7/2026. The administrator should send a copy of the Centrally Stored Administration record, MARs, and Controlled Substances log for all to the LPA clients at the end of every week(fridays) for the next six weeks. licensee agrees.
Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not being followed as evidenced by: in interview with 2 hospice nurses who identified clients r1 and r3 and characterized their observations as discovered wet frequently. Not following this requirement poses a risk to health safety or personal rights of clients in care.
Official plan of correction
LPA suggested the facility begin an incontinance care log recording time of checks and the clients status to be updated and signed every time care is provided for the clients with identified incontinance needs. LPA gave guidance that incontinance care checks frequency should increase as need is discovered. a plan to address the current incontinance care needs of the clients should be sent to the lpa by end of day 8/07/2026. licensee agrees.
Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.