Inspection visit

Follow-up on correctionsAugust 11, 2025

JBM RESIDENCE HOME, INC.License 1976070127 citations on this visit

7 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 t he reason for the visit. LPA may also be citing citations that have not been corrected by Licensee and those citations LPA failed to conduct a follow-up visit, within 10 business days after the POC due date. Previously cited on case management visit 05/07/2025. While conducting the physical plant tour today LPA observed "full" bed rails on resident #1's (R1's) bed. LPA observed the bed rails extended the entire length of the bed. Review of R1's and resident #2 (R2's) Physician's Reports revealed their ambulatory status as bedridden. Review of the facility sketch revealed only bedroom #3 can retain a bedridden resident. R2 is in bedroom labeled #3 according to the facility sketch. R1 in not in a bedroom cleared for bedridden. According to the Licensee R1 is able to be placed on a wheel chair with the use of a hoyer lift. According to Licensee the bedridden status is temporary and they are working with physical therapy to change status. According to R1's physician's report (LIC602A) the status is expected to persist 365 days or maybe permanent. According to the licensee they believe the LIC602A for R1 is incorrect and will request R1's family to get an update and accurate physician's report. (Continue to LIC809-C) (Continued from LIC809) Previously cited on annual visit 05/21/2025. At 3:04 p.m., licensee revealed they have not completed Medication records for centrally stored medications had still not been updated and did not accurately reflect the medication stored for four (04) out of four (04) residents. Licensee stated they were unable to renew the facilities lability insurance and are still currently working on it. On today's visit LPA reviewed Home Health Certification and Plan of Care for resident #1 (R1). Records revealed R1 has a prohibited health condition. LPA's interview with wound care agency staff revealed R1 has an unstageable wound on left heel. LPA requested more information regrading wound care. During the investigation LPA asked Licensee on 05/07/2025 and 05/09/2025 how many Hospice residents the facility had. The licensee provided the same information on both days stating only resident R#3 was receiving Hospice service for a terminal illness Licensee went on to say R2 was previously on Hospice but was discharged prior to R3 admittance tot the facility. Licensee proceeded to provide LPA with R2's Hospice file from the previous year. LPA was able to confirm with R2's hospice agency on 5/15/2025, that resident #2 (R2) was receiving Hospice services. R2 and R3 were both on Hospice since R3's admittance on 3/31/2025 until R3's passing on 05/09/2025. LPA provided regulations for exception requests, and Hospice waiver. LPA reiterated to Licensee that they currently only have a hospice waiver for one resident. 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.

1569.605Type B
...all residential care facilities for the elderly,... shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, ... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in not maintaining liability insurance which poses a potential health, safety or personal rights risk to persons in care.
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 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 residents which poses an immediate health, safety or personal rights risk to persons in care.
87207Type B
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. Based on interviews the licensee did not comply with the section cited above in false or misleading statements on two different days regarding the same question about the number of residents receiving Hospice services in the facility which posed an potential health, safety or personal rights risk to persons in care.
87465(h)(6)Type B
(h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained... 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 four (04) out of four (04) residents' centrally stored medication not being properly recorded which poses a potential 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)... (B)Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care...This requirement is not met as evidenced by: Licensee did not comply with the section cited above by utilizing full bed rails for R1 who does not receive hospice care services 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 R1 who is not receiving hospice services and has a unstageable wound which poses an immediate health, safety or personal rights risk to persons 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... and any future residents who may request acceptance, ... This requirement is not met as evidenced by: Based on record review and interviews the licensee did not comply with the section cited above in accepting a second resident receiving hospice services when the facility has a hospice waiver for only one resident which posed an immediate health, safety or personal rights risk to persons in care.
87303(b)(2)Type B
(b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range... or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement is not met as evidenced by: Based on LPA's interviews and observation the facility's air conditioning system was observed to be inoperable which poses an potential Health, Safety or Personal Rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 11, 2025 inspection of JBM RESIDENCE HOME, INC.?

This was a other inspection of JBM RESIDENCE HOME, INC. on August 11, 2025. 7 citations were issued: 4 Type A (serious) and 3 Type B.

Were any citations issued to JBM RESIDENCE HOME, INC. on August 11, 2025?

Yes, 7 citations were issued (4 Type A, 3 Type B). The first citation was for: "...all residential care facilities for the elderly,... shall maintain liability insurance covering injury to residents a..."

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 CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·August 11, 2025