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Inspection visit

Follow-up on corrections

PROSPECT MANORLicense 1976039523 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Alberto Lopez made a subsequent visit to continue investigation and deliver findings for the for complaint 28-AS-20230922133247. LPA met with Staff Jose Deleon, and Administrator Lydia Pabion arrived a few minutes later and assisted with the visit. During the investigation for the complaint mentioned above, the department discovered that facility had three (3) other deficiencies. 1) The facility failed to report to the department all the incidents the resident refused wound care to the department and other parties including resident's doctor. 2) The facility falsified records. S2 wrote in resident's record that wound care was provided on more than one occasion and both S1 and S2 both admitted to the department was not actually done. 3) Medical assessment was not in file for R1 prior to admission to facility. Deficiencies cited on 809D, copy of report, 809D and appeal rights provided.

Citations

4 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.

  • 87207Type A

    False Claims: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This deficiency was evidenced by the following: During the course of a complaint investigation, Facility provided hand written documentation indicating that S2 had provided wound care to R1 on several occasions. Both S1 and S2 told the department that wound care was not provided.

  • 87211(a)(1)(d)Type B

    87211(a)(1) 87211 Reporting Requirements: (a) Each licensee shall furnish..: (1)A written report shall be submitted to the licensing agency... within seven days of the occurrence...(D)Any incident which threatens the welfare, safety or health of any resident.This requirement is not met as evidence by: Facility did not report incidents when resident refused wound care during the months of July, August, and September, 2023

  • 87458(a)Type B

    87458 Medical Assessment (a)(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: R1 LIC602 when admitted was not in resident's file and the LIC602A dated on 11/22/2022 was signed by medical doctor who stated he did not have R1 as patient.

  • 87468.2(a)(8)Type A

    Additional Personal Rights of Residents in Privately Operated Facilities (a)...: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement is not met as evidence by: Based on department interviews conducted and documents reviewed licensee failed to ensure R1 did not develop a wound and neglected wound care by retaining R1 with stage 4 wound which poses an immediate risk to the health, safety, or personal rights to the persons in care. *Immediate Civil Penalty for $500 is being issue*

FAQ · About this visit

Common questions about this visit

What happened during the October 10, 2024 inspection of PROSPECT MANOR?

This was a other inspection of PROSPECT MANOR on October 10, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to PROSPECT MANOR on October 10, 2024?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "False Claims: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement..."

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.