complaint·March 12, 2024

Citations

7 citations recorded^*CCLD

• 1569.58(a)(5)Type A

  1569.58 Persons prohibited from being a licensee, owning beneficial interest in licensed facility-(a) The Department may prohibit any person from being a licensee...or being an administrator, member, or manager of a licensee...and my further prohibit any licensee from employing, or continuing the employment of...or allowing contact with clients of a licensed facility...who has done any of the following: (5) Engaged in acts of financial malfeasance concerning the operaton of a facility, including but not limited to, improper use or embezzlement of client moneys and property or fraudulent appropiattion for personal gain of facility moneys and property. This requirement was not met as evidenced by:Based on interviews and records review, the Licensee became R1's health care and financial power of attorney. This posses an immidiate health and safety risk to resident in care.

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• 87217(d)(2)(f)Type A

  87217(d)(2)(f) Safeguards for Resident Cash, Personal Property, and Valuables (d)(2)...no licensee or employee of a facility shall; accept any general or special power of attorney for any resident.This requirement was not met as evidenced by: Based on interviews and records review the Licensee became R1's POA. This poses an immediate health and safety risk to residents in care.

• 87211(a)(1)(B)Type B

  87211(a)(B) Reporting Requirements-(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency for (B) any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement was not met as evidenced by: The Licensee did not notify the Department that residents had entered hospice care and did not submit incident reports for residents. This poses a potential health and safety risk for residents in care.

• 87405(d)(1)(2)Type B

  87405(d)(1)(2) Administrator Qualifications and Duties-The Administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). (2) Knowledge of the ability to conform to the applicable laws, rules, and regulations...This requirement was not met as evidenced by: Licensee did not ensure that the Administrator has enough knowledge to comply with Title 22 Regulations. Based on interviews and record review, the facility is not in compliance with Title 22 Regulations. This poses a potential health and safety risk to residents in care.

• 87506(a)Type B

  87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to the licensing agency staff.This requirement was not met as evidenced by:The Licensee did not present to Licensing agent complete resident records for R2. This poses a potential health and safety risk to residents in care.

• 87633(h)(3)Type B

  87633(h)(3) Hospice Care of Terminally Ill Residents (h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident's record (3) A copy of the written certification statement of the resident's terminal illness from the medical director of hospice...This requirement was not met as evidenced by:The licensee did not provide the Department representative with this documentation. This poses a potential health and safety risk to residents in care.

• 87705(c)(5)Type B

  87705(c)(5) Care of Persons with Dementia-Each resident with dementia shall have an annual medical assessment...and a reappraisal done at least annually both of which shall include a reassessment of the resident's dementia care needs.This requirement was not met as evidenced by:Based on records review, the Licensee did not have a resident with dementia annually medically assessed. R1's last medical assessment was conducted in 2019. This posses a potential health and safety risk to residents in care.

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