Follow-up on corrections·September 16, 2025

Citations

5 citations recorded^*CCLD

• 87458(c)(4)Type B

  "(c) The medical assessment shall include, but not be limited to: ... (4) Identification of physical limitations of the person to determine his/her capability to participate in the programs provided by the licensee, including any medically necessary diet limitations." This requirement was not met as evidenced by: Based on interview and record review, a resident was accepted into care without all required information on file, which poses a potential health, safety, and/or personal rights risk.

• 87217(b)Type B

  Facility must safeguard entrusted cash and valuables

  "(b) Every facility shall take appropriate measures to safeguard residents' ... personal property ... which have been entrusted to the licensee or facility staff." This requirement was not met as evidenced by: Based on interviews, a resident's personal property was improperly removed without consent of the resident, which poses a potential health, safety, and/or personal rights risk.

• 87411(c)(6)Type B

  Training documentation requirements

  "(6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates which of the criteria of Section 87411(c)(3) is met by the trainer." This requirement was not met as evidenced by: Based on three witness statements, a staff member worked in this facility for whom no file can be located, and no training records are available. This poses a potential health, safety, and/or personal rights risk.

• 87465(a)(4)Type A

  Assist residents with self-administered medication

  "(4) The licensee shall assist residents with self-administered medications as needed." This requirement was not met as evidenced by: Based on observation and interview, a resident's medication was being improperly dispensed, which poses an immediate health, safety, and/or personal rights risk.

• 87555(b)(5)Type B

  "(5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents." This requirement was not met as evidenced by: Based on interviews, staff members restricted R1's diet without physician's orders to do so, in violation of residents' rights, which poses a potential health, safety, and/or personal rights risk to residents.