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Inspection visit

complaint

COMFORT HOME 2License 366426081
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Staffs #1 (S1), Staffs #2 (S2) and Staff #3 (S3) reported that they were not supervising the Home Health Nurse when they are at the facility to provide care and supervision to R1 but they are available for assistance if needed. S1, S2 and S3 denied witnessing Home Health Nurse hit R1 or any resident at the facility. Home Health Nurse reported to LPA Brown that they never hit R1 and no incident happened at the facility that a Home Health staff hit R1. Based on interviews and records review, the allegation Staff did not protect resident from being hit by another staff is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, where this report (LIC9099) was discussed and provided to Licensee Sue Lal.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87608(a)(3)Type B

    87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Based on observation, interview andr ecord review, the licensee did not comply with the section cited above by having Resident #3 (R3) half bed rail with no written order from R3's physician indicating the need for the postural support maintained in R3 facility record which poses a potential health, safety or personal rights risk to residents in care.

  • 87705(I)(2)Type A

    87705 Care of Persons with Dementia: (I) The following initial and continuing requirements shall be met by the licensee to lock the exterior doors or perimeter fence gates: (2) The Licensee shall ensure that the Fire Clearance includes approval of locked exterior doors or locked perimeter fence gates. This requirement is not met as evidenced by: Based on observation,interview and records review, the Licensee did not comply with the regulation by locking the side gate/perimeter fence gate in a manner that residents are unable to exit without assistance. This poses an immediate health, safety, and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 17, 2023 inspection of COMFORT HOME 2?

This was a complaint inspection of COMFORT HOME 2 on November 17, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to COMFORT HOME 2 on November 17, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.