Follow-up·October 20, 2022

Citations

9 citations recorded^*CCLD

• 1569.652(c)Type B

  §1569.652 Termination of admission agreement upon death of resident;...(c) A refund of any fees paid in advance....within 15 days after the personal property is removed. This requirement is not met as evidence by: In January 2022, R1 stayed at the facility for a few days and the responsible party paid for the entire month but the facility has yet refunded the unused portion of the payment to the RP poses a potential risk to person(s) in care.

• 87507(e)Type B

  Provide copies of signed agreements and amendments

  87507 Admission Agreements..(e) The licensee shall provide a copy of the signed and dated current admission agreement,..to the resident or the resident's representative, The requirment is not met as evidenced by: The facility did not provide a copy R1's admission agreement to R1's responsible party despite R1's responsible party's requests which poses a potential risk to person(s) in care.

• 87413(a)(2)Type A

  87413 Personnel - Operations (a) In each facility:(2) Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. The requirement is not met as evidenced by: staff #1 (S1) yelled at residents during care and supervision which poses an immediate health risks to residents in care.

• 1569.80(a)Type A

  §1569.80 Care and services decision making; meeting; written record a) A resident of a residential care facility for the elderly, or the resident's representative, or both, shall have the right to participate in decision making regarding the care and services to be provided to the resident. This requirement is not met as evidenced by: R1 is satisfied with services that was provided by the home health visiting nurse. However the facility pressured R1 discontinuing the services from this visting nurse which posed an immediately health risks to resident in care.

• 87457(c)(3)Type B

  87457 Pre-Admission Appraisal - General(c)Prior to admission a determination of the prospective resident's suitability for admission shall be completed..(3) The prospective resident, or his/her responsible person,...shall be involved in the development of the appraisal. This requirement is not met as evidenced by R1 and R2's appraisal needs/service plans were not signed indicating it's reviewed and agreed by the residents and/or their responsible parties which poses a potential health risk to residents in care.

• 87463(a)Type B

  Update reappraisal at required intervals

  87463 Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. This requirement is not met as evidenced by: during the 10-day initial complaint visit, LPA observed R1 and R2 have half bed rails up by the head of their beds, however, the need of utilzing this device was not reflected in their appraisal needs which poses a potential health risk to residents in care

• 87608(a)(3)Type B

  Maintain physician order documentation in resident record

  87608 Postural Supports (a) Based on the individual's preadmission appraisal, Postural supports may be used under the following conditions.(3) A written order from a physician indicating the need for the postural support... This requirement is not met as evidence by: R1 and R2 have half bed rails by the head of the bed and there was no written order from their physician which poses a potential health risks to residents in care.

• 87468.2(a)(1)Type B

  Right to personal privacy in daily care

  87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1,...(1) To have a reasonable level of personal privacy in accommodations... This requirement is not met as evidenced by: The facility moved and displaced resident #1's personal belongings from R1's room without R1's presence, and consent which poses a potential health risks for resident in care.

• 87506(a)(b)(15)Type B

  87506 Resident Records(a)The licensee shall ensure...a current record is maintained for each resident in the facility.. readily available to facility staff and to licensing agency staff..(b) Each resident’s record shall contain.. (15)The admission agreement..This requirement is not met as evidenced by: the facility did not have resident #1 (R1)'s admission agreement in the facility which poses a potential health risk to residents in care.

FAQ · About this visit

Common questions about this visit

Next steps