Routine inspection·January 15, 2026

Citations

3 citations recorded^*CCLD

• 1569.69Type B

  HEALTH & SAFETY CODEEach employee who received training and passed the exam required... and who continues to assist with the self-administration of medicines, shall also complete 8 hours of in-service training on medication-related issues in each succeeding 12 month period. This requirement is not met, as there is no evidence that staff received 8 hours of medication training in 2025. Records show that staff received 6 hours of med training in 2025. Licensee failed to ensure that staff received required 8 hours of med training.

• 1569.696Type B

  All RCFEs shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care...shall include 4 hours of training on the care, supervision, and special needs of those residents... 4 hours of training thereafter...per year.... This requirement is not met, as there is no evidence that staff received training on postural supports and restricted health conditions, which poses a potential health, safety or personal rights risk.

• 87608(a)(5)(B)Type B

  POSTURAL SUPPORTSBed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement is not met, as there are 2 half bed rails on bed for client #5, but full bed rails are not included in hospice care plan. Licensee failed to ensure that hospice care plan includes full bed rails for client #5, which poses a potential health, safety or personal rights risk to clients in care.