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Inspection visit

Follow-up on corrections

JBM RESIDENCE HOME, INC.License 1976070128 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Deficiencies visit to this facility in conjunction with a complaint control #31-AS-20250429144827. LPA met with the Licensee and explained the reason for the visit. Review of R2's and resident #5 (R5's) Physician's Reports revealed their ambulatory status as bedridden. Review of the facility sketch revealed only bedroom #3 can retain a bedridden resident. R5 is in bedroom labeled #3 according to the facility sketch. R2 in not in a bedroom cleared for bedridden. Prohibited health condition for resident #3 (R3). R3, Licensee and wound care agency staff confirmed resident has a wound. According to the wound care agency staff it is a stage 4. LPA was not provided documentation or a care plan or exception letter requesting to retain resident. R1 may also have a wound. LPA requested Home Health documentation. While conducting the physical plant tour LPA observed three (03), Resident #1 (R1), R2 and R5 have "full" bed rails. LPA observed the bed rails extended the entire length of the beds . According to Josephine only Resident #2 (R2) is receiving Hospice services. While reviewing resident records LPA did not observed a Pre-Admission Appraisal for R1 and R2. R1 was missing a Physician's Report with tuberculosis ( TB) test results. According to Josephine the LIC602A form was provided to R1's doctor and the facility is waiting for it to be completed and returned. Josephine provided an updated LC500 to LPA. Review of staff #1's (S1's) record revealed they do not have a health screening with TB results. According to Josephine S1 last worked on Monday, May 5th 2025. During physical plant tour LPA passed by room labeled #1 and it had a urine odor coming from inside the bedroom. According to wound care agency staff they agreed the room smelled of urine. At 4:30 p.m., LPA observed Licensee changing a resident's soild undergarments without gloves. Deficiencies cited (refer to LIC 809D). Exit interview conducted, appeal rights and copy of report provided.

Citations

8 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.

  • 87202(a)(2)Type A

    (a) All facilities shall maintain a fire clearance...Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance...(2)Bedridden persons. This requirement is not met as evidenced by: Based on observation and record review the licensee did not comply with the section cited above in that the facility has fire clearance for one bedridden resident and the facility currently has two bedridden resdients which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(a)Type B

    (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 evidenced by: Based on observation the licensee did not comply with the section cited above in that LPA smelled a urine odor in bedroom #1 and the section of the facility where the bedroom is located by the formal dining area smelled of urine which poses a potential health, safety or personal rights risk to persons in care.

  • 87412(a)(11)Type B

    (a) The licensee shall ensure that personnel records are maintained on... each employee. Each personnel record shall contain the following information:(11)A health screenings specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above in that staff #1's (S1's) record was incomplete missing health screening and TB test result which poses a potential health, safety or personal rights risk to persons in care.

  • 87457(c)(1)(A)Type B

    (c) Prior to admission a determination of the prospective resident's suitability...(1) The appraisal shall document, at a minimum:(A)An evaluation of the prospective resident's functional capabilities...This requirement is not met as evidenced by: Licensee did not comply with the section cited above in two out of five resdients had no preplacement appraisal on file which poses a potential health, safety or personal rights risk to persons in care.

  • 87458(a)Type B

    87458(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above in that the facility did not obtain a medical assessment with TB test for R1 prior to admittance which poses an immediate health, safety or personal rights risk to persons in care.

  • 87470(4)(A)(3)Type B

    (4) All facility staff and volunteers shall use gloves...(A)Gloves shall always be worn when: 3...assisting with incontinence when there is a risk of contact with blood, body fluids or other potentially infectious material. This requirement is not met as evidenced by: Based on observation LPA Rios observed the Licensee change a resident without using gloves, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87608(a)(5)(B)Type A

    (a) ...Postural supports may be used under the following conditions. (5)Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (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: Licensee did not comply with the section cited above by utilizing full bed rails for R1 and R5 who are no longer on hospice which indicates the need which poses an immediate health, safety personal rights risk .

  • 87615(a)(1)Type A

    (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on record review and interviews the licensee did not comply with the section cited above by retaining R3 who is not receiving hospice services and has a stage 4 wound which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 7, 2025 inspection of JBM RESIDENCE HOME, INC.?

This was a other inspection of JBM RESIDENCE HOME, INC. on May 7, 2025. 8 citations were issued: 3 Type A (serious) and 5 Type B.

Were any citations issued to JBM RESIDENCE HOME, INC. on May 7, 2025?

Yes, 8 citations were issued (3 Type A, 5 Type B). The first citation was for: "(a) All facilities shall maintain a fire clearance...Prior to accepting or retaining any of the following types of perso..."

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.