House of Hope

Modified diets for medical necessity

87555 General Food Service Requirements(b) The following food service requirements shall apply:(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided.This requirement was not met as evidence by: Based on observation, photos and file review the facility was not providing R1 with a puree diet, which poses an potential health, safety or personal rights risk to persons in care.

(i) Nothing in Section 87224 precludes the licensee from initiating the urgent relocation to a licensed health facility of a terminally ill resident receiving hospice services when the resident's condition has changed and a joint determination has been made by the Department, the resident or resident's health care surrogate decision maker, the resident's hospice agency, a physician, and the licensee, that the resident's continued retention in the facility poses a health and safety risk to the resident or any other facility resident. (1) The licensee shall follow the procedures specified in Section 87637(b)(2) to reduce the risk ofThis requirement was not met as evidence by:

Limit operations to licensed capacity

Based on record review, there are three residents on hospice and the facility license is only approved for two hospice, the licensee did not comply with the section cited above in 3 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on record review, R5 did not have medical assessment in their file, the licensee did not comply with the section cited above in 1 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, emergency drill logs were not available for inspection, the licensee did not comply with the section cited above in 5out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on record review, LPA reviewed that Resident # 2 (R2) has bedrail beds but does not have any physician’s order in file, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, LPA, Daniel Konishi measured resident’s restroom #1 water temperature read at 132.5 degrees F and resident’s restroom #2 water temperature read at 135.6 degrees F, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, LPA Konishi observed Resident #2 (R2) negative TB test results not in file.

Based on record review, the Administrator did not comply with the section cited above and Staff #1 (S1) to Staff #3 (S3) did not have valid first aid training in file which poses a potential health, safety or personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement wsa not being met as evidenced by: Licensee admitted that a Special incident report was not submitted to for incident which occurred on 10/27/21, in which fire department was called.

a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not being met as evidenced by:LPA Rea observed that the increase notice provided to resident #1's authorized representative did not include an itemization of charges.