LAND OF ENCHANTMENT 1 BOARD AND CARE LLC

Official classification

Type B

Official code

87307(a)(3)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as one resident does not have a bed which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/06/2024 Plan of Correction Licensee will contact CCL to obtain a waiver to retain a resident without a bed. Licensee will submit letters describing the situation and the wishes of the resident. Letters are to be written and signed by the licensee, the resident, and the resident's responsible party. Licensee will submit the required documents to CCL no later than POC due date.

Official classification

Type B

Official code

87705(h)

Regulation authority

CCR

What the official deficiency says

(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as two (2) out of two (2) exit gates failed to self latch which poses a potential health or safety risk to persons in care.

Official plan of correction

POC Due Date: 08/06/2024 Plan of Correction Licensee will contact an appropriate professional to perform the required work to ensure both gates self latch. Licensee will submit either of the following to CCL no later than the POC due date: a copy of the repair quote and an estimated date of completion or proof of work performed and evidence of gates properly self latching.

Official classification

Type B

Official code

1569.655(a)

Regulation authority

HSC

What the official deficiency says

(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents...provide no less than 60 days' prior written notice to the residents or the residents' representatives setting forth the amount of the increase...with residents. This requirement is not met as evidenced by: Based on interviews and documents reviewed, the licensee did not comply with the section cited above, as the licensee failed to provide sufficient notice to R1 and R1’s responsible party regarding rate increase, which poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee agreed to submit a statement of understanding, detailing how the facility will maintain compliance of HSC 1569.655(a) and send to LPA via email by COB 05/26/2023.

Deadline recorded: May 26, 2023. A deadline is not proof that correction was completed.