Good Shepherd Home

Postural Supports. Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.This requirement is not met as evidenced by: Based on observation, resident (R1's) bed had split bed rails, (R2's) bed had a three-quarter length bed rails, and underneath resident (R3's) bed a three-quarter length bed rail was observed. Physician orders are in place for half length rails only. This poses a potential health, safety or personal rights risk to persons in care.

Immediate disposal of contaminated food

General Food Service Requirements. The following food service requirements shall apply: All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement was not met evidenced by: On 9/29/25, Regional Center specialist observed wilted lettuce, strawberries with mold, and food containers with mold in the kitchen refrigerator. This poses a potential health, safety or personal rights risk to persons in care.

Diet quality and preparation in safe healthful manner

General Food Service Requirements. The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. On 9/29/25, Regional Center specialist observed that 7-day non-perishable food pantry had 15 items that were expired.This poses a potential health, safety or personal rights risk to persons in care.

87555 General FoodService Requirements(b) The following food service requirements shall apply: (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement is not met as evidence by: Based on record review, current menu plan for residents does not offer a variety of foods to meet personal preferences, special dietary needs, food habits and cultural background which poses a potential health and safety risk for residents in care.

Maintain facility in clean, safe, sanitary condition

87303(a) Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidence by: Based on interview and observation, resident bedroom #4 had a hole in the ceiling, one of the walls in bathroom #1 was chipped at the bottom and bathroom vent was dirty which poses an immediate health, safety or personal rights risk to persons in care.

87506(b)(13) Resident Records(b) Each resident’s record shall contain at least the following information:(13) Continuing record of any illness, injury, or medical or dental care, when it impacts the resident's ability to function or needed services. This requirement is not met as evidence by: Based on interview and record review, licensee did not ensure that residents had the proper declination of routine medical appoinment in place and scheduled resident dental appoinment accordingly which poses a potential risk for the health and safety of residents in care.

Infection control plan required in operations plan

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as there is no infection control plan on file which poses/posed a potential health, safety or personal rights risk to persons in care.