Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87615(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87615(a)(1) Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained... (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as R1 had a left foot unstageable pressure ulcer and a coccyx stage 3 pressure ulcer and R1 was not admitted to hospice care at that time, which posed an immediate health risk to persons in care.
Official plan of correction
The Administrator agreed to submit a corrective action plan outlining specific steps to ensure future compliance with all admission, retention, care, assessment and relocation regulations.
Deadline recorded: Nov 3, 2025. A deadline is not proof that correction was completed.
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(d)
- Regulation authority
- CCR
What the official deficiency says
The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. This requirement is not met as evidenced by: Based on interviews and records review the licensee did not comply with the section cited above as the Administrator did not demonstrarte sufficient knowledge, and qualifications as an Administrator, admitting & retaining R1 with a prohitivive health condition which poses an immideate
Official plan of correction
Licensee agreed to review reg cited and submit a statement of understanding, along with a written plan on how they will ensure future compliance then send to LPA via email by COB 11/03/2025. health, safety or personal rights risk to persons in care.
Deadline recorded: Nov 3, 2025. A deadline is not proof that correction was completed.