Correction check·April 21, 2026

Citations

12 citations recorded^*CCLD

• 87405(a)Type B

  87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by: Based on LPA's observations and records reviewed, the facility did not ensure to have an assigned certified administrator at the facility, which poses a potential health, safety, and/or personal rights risk to the residents in care.

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• 87411(d)Type A

  87411 Personnel Requirements - General (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement is not met as evidenced by: Based on LPA's observations, interviews conducted, and records reviewed, the facility did not ensure that staff assisting residents with self-administered medication had medication training at the facility, which poses an immediate health, safety, and/or personal rights violation to the residents in care.

• 87465(h)(2)Type B
• 87465(h)(6)Type B
• 87506(a)Type A

  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 licensing agency staff. This requirement is not met as evidenced by: Based on LPA's observations and records reviewed, the facility did not ensure to make complete and current records available to licensing agency staff to review, which poses an immediate health, safety, and/or personal rights violation to the residents in care.

• 87628(a)Type B
• 87411(a)Type B
• 87507(h)(4)Type B
• 87465(h)(5)Type B
• 87555(b)(7)Type B
• 1569.625(b)(1)Type B
• 87303(a)Type B

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