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Inspection visit

Follow-up

A & P CARE HOME FOR SENIORSLicense 0156013632 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

While at the facility reviewing records for the annual inspection, LPA observed Resident 4 (R4) discharge papers dated 7/3/23 indicates R4 developed pressure injury of sacral region stage 3, on 7/16/23 R4 developed decubitus ulcer of sacral region, stage 3 and pressure injury of left perineal ischial region, stage 3 and 1/22/24 indicate R4 with Pressure injury of sacral region, stage 3. R4 is currently in the hospital. The Administrator states there is no home health nurse following up on R4 as of this time. Based on interview conducted by LPA with the Home Health nurse who provided care to R4 in July, R4 was admitted to home health for treatment of stage 3 wound on 7/4/2023 and got discharged on 8/25/23 because the wound healed. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending. Exit interview was conducted with the Administrator. Appeal Rights was provided.

Citations

9 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above in having ripped screen door, unused DMEs in the backyard which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(a)(1)Type B

    Based on observation, the licensee did not comply with the section cited above in having a bathroom that smells urine and unorganized which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above in having Lysol and comet unlocked which poses an immediate health, safety or personal rights risk to persons in care.

  • 87611(d)Type A

    Based on observation and record review, the licensee did not comply with the section cited above in not conducting Reappraisal for R1 who developed pressure injury which poses an immediate health, safety or personal rights risk to persons in care.

  • 87616(b)(1)Type A

    Based on record review, the licensee did not comply with the section cited above in not having an approved exception for R1 who developed stage 3 in July 2023 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87705(c)(5)Type B

    Based on record review, R4 has Alzheimer's Dementia but last Physician's Report is in 2022, the licensee did not comply with section cited which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(2)Type A

    Based on observation, the licensee did not comply with the section cited above in having unlocked insulin in the refrigerator which poses an immediate health, safety or personal rights risk to persons in care.

  • 87466Type A

    87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement is not met ase evidenced by: R4's discharge paper dated 7/16/23 indicates R4 developed stage 3 pressure injury of left perineal ischial region. R4 was admitted back to the facility without home health nurse following up.

  • 87615(a)Type A

    87615 Prohibited Health Conditionsa) 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 in a residential care facility for the elderly: R4 developed stage 3 pressure injury and was admitted back to the facility without an approved exception which poses an immediate risk to health and safety of clients under care.

FAQ · About this visit

Common questions about this visit

What happened during the January 31, 2024 inspection of A & P CARE HOME FOR SENIORS?

This was a other inspection of A & P CARE HOME FOR SENIORS on January 31, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to A & P CARE HOME FOR SENIORS on January 31, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in having ripped screen door, unused DMEs..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.