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Inspection visit

Complaint

BLUEBERRY HILLLicense 1072069531 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Katie Brown arrived unannounced at the facility to deliver complaint investigation findings. LPA met with and explained the purpose of the visit with Administrator (AD) Yolonda Castigador. The Department investigated the allegation: Resident sustained pressure injury while in care. Record review of R1’s hospice file and Physician’s Report reveal R1 did not have a pressure injury prior to admission. The resident was admitted to the facility on 1/13/22. Per Hospice Nurse Note dated 1/17/22, resident sustained a pressure ulcer since the previous visit. Based on record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. The following deficiencies were observed and noted on the attached LIC 809D. All violations that, if not corrected, will have direct and immediate risk to the health, safety or personal rights of clients in care. A copy of this report, Plan of Correction and Appeal Rights was emailed to ronald.sandone@yahoo.com. An exit interview with AD was conducted.

Citations

2 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.

  • 87633(b)(6)(A)Type A

    87633 Hospice Care of Terminally Ill Residents (b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee’s responsibilities for implementation of the hospice care plan. (A)The training shall include but not be limited to typical needs of hospice patients, such as turning and incontinence care to prevent skin breakdown, hydration, and infection control.This requirement was not met as evidenced by: Licensee did not ensure that a Current & complete hospice care plan was maintained at the facility which included identification of training needed related to repositioning of R1 to prevent skin breakdown.This poses an immediate health & safety risk to persons in care.

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  • 87506(a)Type B

    Maintain separate complete record for each resident

    87506 Resident Records(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 was not met as evidenced by: Licensee did not ensure the complete and current record for R1.This poses a potential health & Safety risk to persons in care

FAQ · About this visit

Common questions about this visit

What happened during the June 29, 2022 inspection of BLUEBERRY HILL?

This was a complaint inspection of BLUEBERRY HILL on June 29, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BLUEBERRY HILL on June 29, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87633 Hospice Care of Terminally Ill Residents (b) A current and complete hospice care plan shall be maintained in the f..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.