Follow-up on corrections·October 5, 2021

Citations

6 citations recorded^*CCLD

• 87411(a)Type A

  Facility personnel sufficiency and competence

  Personnel Requirements-GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met as evidenced by: R1 was bedridden and Licensee failed to have enough staff to remove him from bed. This is an immediate Health and Safety risk to resident's in care.

• 87625(b)(3)(7)Type A

  Managed Incontinence-The licensee shall be responsible for ensuring that incontinent residents are kept clean and dry and the condition of the skin exposed to urine and stool is evaluated regularly to ensure that skin breakdown is not occurring. This requirement was not met as evidenced by: Staff could not move R1 and failed to ensure that R1 was kept clean and dry. R1 developed skin breakdown. This was evidenced by the Infection and foul odor of the Stage III pressure injury. This is a immediate health and safety risk.

• 87202(a(2)Type A

  Fire Clearance-Prior to accepting or retaining nonambulatory and/or bedridden resident's, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by city or county fire department.This requirement was not met as evidencesd by: Resident #1 was bedridden and the Licensee did not have an approved bedridden fire clearance. This is an immediate Health and Safety risk to residents in care.

• 87203Type A

  Maintain facilities for fire and panic safety

  Fire Safety-All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement was not met as evidenced by: During visit, LPA observed the back door exits to be tied shut and a chair and recliner pushed up against the doors. This is a Health and Safety and Personal Rights risk to residents in care.

• 87464(d)Type A

  Acceptance obligations tied to pre-admission appraisal needs

  Basic Services- 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 either directly or through outside resources.This requirement was not met as evidenced by: R1's ADL's could not be met by staff as staff were limited and R1 was bedridden. The Licensee failed to hire more staff to meet R1's needs and failed to notify R1's doctor and/or outside resources of his wound and bedridden status. R1 was not receiving home health or hospice services. This is an immediate health and safety risk.

• 87615(a)Type A

  Prohibited Health Conditions- Persons who have a Stage 3 and 4 pressure injury shall not be admitted or retained in a residential care facility for the elderly.This requirement was not met as evidenced by: R1 was not removed from bed from 4/8/21 until R1 left the facility on 5/30/21. R1 developed a Stage III pressure injury while in care. R1 was not receiving hospice services. This is an immediate Health and Safety/Personal Rights risk to residents in care.