Follow-up on corrections·March 17, 2023

Citations

2 citations recorded^*CCLD

• 87211(a)(1)Type B

  Report specified resident events within seven days

  87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below...Violation of this regulation is evidenced by: Based on the interviews conducted an information collected, the facility failed to submit an incident report for an incident that occurred on 2/15/23. In addition the facility adminsitrator acknowledged that she was unaware that a report had to be submitted to CCL.

• 87463(a)Type B

  Update reappraisal at required intervals

  87463 Reappraisals: (a) ...The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to...Violation of this regulation is not met as evidenced by: Based on interviews conducted and information collection, the facility administrator acknowledged that she refused to take R1 back to the community because the hospital did not properly assess her, however instead of administrator going to assess her, the administrator called R1's responsible party to assess R1 prior to discharge. In addition, the administrator acknowledged she did not reassess R1 when R1 was in the hospital or when R1 returned back to the community.