complaint·June 7, 2021

Citations

7 citations recorded^*CCLD

• 87202(a)(2)Type A

  87202 (a) (2) FIRE CLEARANCE. All facilities shall maintain a fire clearance. Prior to accepting persons over 60 years of age none ambulatory and/or bedridden the licensee shall notify the licensing agency and obtain an appropriate fire clearance. This requirement is not met as evidenced by: Based on observations made and interview with staff the licensee did not comply with the cited section by retaining two bedridden resident without proper fire clearance which poses an immediate health, safety or personal rights risk to persons in care.

• 87465(a)(6)(D)Type A

  (D) Assistance with self-administration does not include forcing a resident to take medications, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication.This requirement is not met as evidenced by: Based on interview with staff, the licensee did not comply with the section cited above by crushing and camouflaging medications with food without a doctors order for 2 out of 4 residents which poses an immediate health, safety or personal rights risk to persons in care.

• 87465(b)(c)(d)Type B

  Licensee is required to have PRN authorization letter on file signed by a physician to determine whether or not the residents can communicate the need and/or symptoms clearly for the as needed (PRN) medication.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not obtaining PRN authorization letters for 4 out of 4 residents which poses a potential health, safety or personal rights risk to persons in care.

• 87465(C3)(D3)Type B

  (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not keeping PRN administration records when given to 3 out of 4 residents poses a potential health, safety or personal rights risk to persons in care.

• 87608(a)(3)Type B

  Postural Supports. A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed. This requirement is not met as evidenced by: Based on Records reviewed, observations made the licensee did not comply with the section cited above by not obtaining an order for postural support for 2 out of 4 residents which poses a potential health, safety or personal rights risk to persons in care.

• 87608(a)(5)(B)Type A

  (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 is not met as evidenced by: Based on observations made while touring the facility the licensee did not comply with the section cited above by placing two half rails as a full rails for R1 who is on hospice however licensee does not have hospice care plan which indicates the need for the rails. which poses an immediate health, safety & personal rights risk to R1.

• 87705(c)(5)(A)Type B

  (c) Licensees who accept & retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment, & a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Based on LPA record review, the licensee did not comply with the section cited by not obtaining an Annual Medical assessment and not completing annual re-appraisals for 3 out of 4 residents diagnosed with dementia. This poses a potential health and safety risk to the residents in care.