Follow-up·May 4, 2023

Citations

4 citations recorded^*CCLD

• 87465(g)Type A

  Call 9-1-1 for imminent health threats

  87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not obtain medical attention in a timely manner which poses an immediate health and safety risk to residents in care.

• 87211(a)(1)Type B

  Report specified resident events within seven days

  87211 Reporting Requirements. (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. This requirement is not met as evidenced by: Based on record review and interviews, the licensee failed to report incident to responsible party which poses a potential health and safety risk to residents in care.

• 87466Type A

  Regular observation and documentation of resident changes

  87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on record review R1 sustained a pressure injury while in care which posed an immediate health and safety risk to residents in care.

• 87615(a)(1)Type A

  No stage 3 or 4 pressure injuries

  87615 Prohibited Health Conditions (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: This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee obtained resident (R1) with a prohibited health condition, without an approved exception, which posed an immediate health and safety risk to residents in care.