Follow-up on corrections·March 14, 2024

Citations

3 citations recorded^*CCLD

• 87202(a)Type A

  Maintain fire clearance before retaining specified persons

  87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by: Licensee has 2 out of 5 residents bedridden and is only fire cleared for one resident in room 5. R1 is in room 1 and R2 is in room 2 which are not fire cleared rooms which poses and immediate health safety and or personal rights risk to residents in care.

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• 87608(a)(5)(B)Type A

  87608 Postural Supports(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself Postural supports may be used under the following conditions.(5) Under no circumstances shall postural supports include ...(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement was not as evidenced by LPAs observation of records. There is no order in Resident R1's file for full bed rails. If not corrected, this poses an immediate Health and Safety risk to residents in care.

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• 87633(a)(4)Type A

  Each terminal resident needs a written hospice care plan

  87633 Hospice Care of Terminally Ill Residents (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician...who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidenced by LPAs records review and interview with Administrator. There are no hospice care plans in resident files. If not corrected, this poses an immediate Health and Safety risk to residents in care.

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