Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(4) The licensee shall assist residents with self-administered medications as needed. 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 in two residents medications that were either missing a medication pill or had an excess of medication based on the start dates and quantities, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/08/2025 Plan of Correction The Administrator agreed to have all staff receive training on proper documentation and medication administration and submit proof to LPA by 08/08/2025.
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(b)
- Regulation authority
- CCR
What the official deficiency says
(b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in three residents that did not have a PRN authorization on file which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/19/2025 Plan of Correction Administrator agreed to obtain PRN authorization forms for all three residents and submit proof to LPA by 08/19/25
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 in three residents that either did not have a medical emergency treatment forrm, a signed appraisal needs and services plan, or a negative TB test within a year prior to admission which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/19/2025 Plan of Correction Administrator agreed to obtained the missing consent forms for emergency medical tratment, have residents appraisal needs and services plan signed, and resident obtained a new TB test and submit proof to LPA by 08/19/25.