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Inspection visit

Follow-up on corrections

JBM RESIDENCE HOME, INC.License 1976070122 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Evelin Rios conducted unannounced Case Management - Deficiencies visit to this facility in conjunction with a complaint control #31-AS-20240125095336. LPA met with the Administrator and explained the reason for the visit. While conducting the physical plant tour administrator notified LPA resident #3 (R3) had passed away and that is why the room was vacant. A Death Report was not submitted to the department. According to administrator they have been busy and forgot to send it to the department. While reviewing resident records, resident#2 (R2) records revealed the administrator had admitted the resident without a an written appraisal. According to administrator they are currently working on it. Administrator did not have current Administrator certificate to show LPA during time of visit. Administrator will send a copy of certificate to LPA by 02/02/24. Deficiencies cited (refer to LIC 809D). Exit interview conducted, appeal rights and copy of report signed and delivered.

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 other inspection of JBM RESIDENCE HOME, INC. on January 31, 2024. 2 citations were issued: 2 Type B.

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

Yes, 2 citations were issued (0 Type A, 2 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 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.