Burlingame Senior Home

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R1 and R4 are on oxygen and LPA did not observed any "No Smoking - Oxygen" posted which poses an immediate health, safety or personal rights risk to persons in care.

Maintain personnel records at facility location

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S2's personnel file was not maintained at the facility and the administrator/licensee stated that it was at the sister facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Record findings for communicable tuberculosis conditions

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed resident #4 (R4)'s TB a status for Tuberculosis was blank on the Medical Assessment and the administrator/licensee was not able to provide documentation that it was completed which poses an immediate health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R2 did not have a current reappraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as resident #1 (R1) has bed rails and the facility was not able to provide a written order by the physician which poses an immediate health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R1 and R4 are on Oxygen and the facility was not able to provide proof that the local fire jurisdiction was notified which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator was not able to provide documentation to proof that emergency drills were conducted after Jan 2024 which poses an immediate health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 and S2 did not complete the transfer criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observation, interview and record review the licensee did not comply with the section cited above as 3 out of 5 resident has half bedrails without a physician's order which poses/posed a potential health, safety or personal rights risk to persons in care.

Living accommodations aligned with facility function

87307 Personal Accommodations and Services..(a)Living accommodations and grounds..The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, .... This requirement is not met as evidence by Staff #2 reported sleeping in the resident's living room at night which poses a potential health risk to residents in care.

Limit postural support devices to mobility needs

87608- Postural Support..(a) Based on the individual's preadmission appraisal,..(1) Postural supports shall be.. to improve a resident's mobility and independent functioning..but not limited to, preventing a resident from falling out of bed, a chair, etc. This requirement is not met as evidenced by the facilty places devices next to resident #1's bed without a phsyician's order and staff reported the intent was to prevent resident #1 from falling out of bed which posed an immediate health risk to residents in care.

Maintain physician order documentation in resident record

87608 Postural Supports..(a) Based on the individual's preadmission appraisal,.(3)A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record This requirement is not met as evidenced by the facility did not obtain a written order from the physician for resident #1's quarter bed rails which poses a potential health risk to residents in care.

Allow licensing inspection and controlled record removal

Personnel Records - All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Based on observation, the licensee did not comply with the section cited above. During inspection LPA was unable to reveiw administrator and staff records due to them being locked in a storage drawer within staff room. Staff did not have the key to open the drawers.