Aaa Quality Residential Care Facility

87633(a)(3) 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 and surgeon …(3) Hospice agency services are contracted for by each terminally ill resident or prospective resident individually, or the resident’s or prospective resident's Health Care Surrogate Decision Maker if the resident or prospective resident is incapacitated, not by the licensee on behalf of a resident or prospective resident. These hospice agency services must be provided by a hospice agency both licensed by the state and certified by the federal Medicare program.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above. Licensee did not notify R1’s conservator (LAPG) that R1 was placed on hospice, which posed an immediate health and safety risk to residents in care.

Based on observation and record review, the licensee did not comply with the section cited above as 1 of 4 resident medications reviewed contained inconsistencies with their medication amounts remaining and amounts documented as administered on the centrally stored which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, R1 is bedridden and does not reside in the bedridden room, which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the above cited section, as medications were observed to be accessible inside the refrigerator, which poses an immediate health and safety risk to persons in care.

87457Pre-Admission Appraisal - General(c)Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in which 1 out of 2 residents did not have a pre-admission appraisal completed which poses a potential health and safety risk to persons in care.