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Inspection visit

complaint

BLUE SKIES RANCHLicense 1976097631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation: Staff do not ensure that resident's hygiene needs are met while in care. It is being alleged that the resident’s care is being neglected. Although four (4) out of four (4) residents confirmed that their hygiene needs are met, LPA reviewed the file of resident #1 (R1) who needed assistance with several hygiene needs and was missing documentation. R1's file did not have a Preplacement Appraisal and Resident Appraisal documentation on file. The Appraisal/Needs and Services Plan states R1 needed help with incontinence, bath/shower, eating, and leg elevation. Physician's report stated R1 was ambulatory but R1 was bedridden and had Traumatic Brain Injury. LPA asked the administrator about hospice care and administrator stated they had six (6) waivers. LPA asked another staff if R1 received hospice care or home health and they stated, "no." According to staff interviews, it was confirmed that R1 did need more hygiene care than other residents. Therefore, based on the LPA's records review, staff and resident interviews, the above allegation(s) above is SUBSTANTIATED at this time. An exit interview was conducted, a citation(s) was issued for the above allegation(s), and a copy of this report was given to the Administrator with the Appeals Right.

Citations

1 citation 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.

  • 87464(d)Type A

    Basic Services-87464(d)A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources.This requirement was not met as evidenced by: Based on the LPA's observation, file review and interviews the administrator did not ensure one out of one file at the facility to have a preappriasal, resident appraisal and correct information on the physician's reportl which poses an Immediate Health, Safety or Personal Rights/risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 9, 2024 inspection of BLUE SKIES RANCH?

This was a complaint inspection of BLUE SKIES RANCH on September 9, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BLUE SKIES RANCH on September 9, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Basic Services-87464(d)A facility need not accept a particular resident for care. However, if a facility chooses to acc..."

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.