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Inspection visit

complaint

JBM RESIDENCE HOME, INC.License 1976070121 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation #1: Facility is operating beyond the terms and conditions of the Hospice Waiver. It is alleged that three residents are or had been receiving hospice care at the same time when the facility only has a hospice waiver approved for one (1) resident. LPA reviewed sign in sheets, physician's reports, and hospice folders which revealed, resident #1 (R1), resident #3 (R3) and resident #4 (R4) were under hospice care during the time they were at the facility together. LPA's Interview with administrator revealed they understand what a hospice waiver is and how to request one from Community Care Licensing Division (CCLD). Furthermore, the administrator produced a letter dated 08/19/2009 made out to Community Care Licensing Division (CCLD) requesting a hospice waiver for a resident in the facility. According to the administrator they did not receive a reply such as an approval or denial from CCLD. According to the administrator they did not attempt to reach out to their LPA or CCLD regional office to request a status update. Administrator stated to LPA they believed they had a hospice waiver approved for two (2). Administrator acknowledges R1 and R4 are on hospice for a terminal illness and R3 was on hospice for palliative care. As of todays visit facility only has one (1) resident receiving hospice care. Based on the information obtained through interviews and record review this allegation is deemed Substantiated. Deficiencies cited on LIC 9099 D. Appeal Rights provided. Exit Interview conducted. Copy of report provided.

Citations

3 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.

  • 87211(a)(1)(A)Type B

    87211(a)(1)(A) Reporting Requirements. The licensee shall send a written report to the licensing agency and the person responsible for the resident when a resident dies, regardless of cause or where death occurred, within seven days of the death. This requirement was not met as evidenced by: Based on interview conducted with the administrator, revealed that they failed to submit a death report for R3 to CCL which poses a potential health, safety and personal rights risk to residents in care.

  • 87457(c)(A)Type B

    (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...(A)The licensee shall be permitted to use the form LIC 603 (Rev. 6/87), Preplacement Appraisal Information, to document the appraisal. This requirement was not met as evidenced by:Based on interview and record review conducted with the administrator, they failed to complete an appraisal for R2 which poses a potential health, safety and personal rights risk to residents in care.

  • 87632(a)Type A

    (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department...This requirement is not met as evidenced by: Based on interview and record review, Administrator did not comply with the above section by failing to obtain a hospice care waiver and accepted or retained two (2) terminally ill residents, which poses an immediate health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 31, 2024 inspection of JBM RESIDENCE HOME, INC.?

This was a complaint inspection of JBM RESIDENCE HOME, INC. on January 31, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to JBM RESIDENCE HOME, INC. on January 31, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87211(a)(1)(A) Reporting Requirements. The licensee shall send a written report to the licensing agency and the person r..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.