Complaint·December 16, 2024

Citations

5 citations recorded^*CCLD

• 87411(h)Type B

  PERSONNEL REQUIREMENTSAll services requiring specialized skills shall be performed by personnel qualified by training or experience in accordance with recognized professional standards.This requirement was not met, as non-medical staff provided wound care on C1 pressure ulcer on days when visiting LVNs and RNs did not visit client. Licensee failed to ensure that client received medical care from qualified personnel, which posed a potential health, safety or personal rights risk to clients in care.

• 87625(b)(3)Type B

  Maintain cleanliness and prevent incontinence odors

  MANAGED INCONTINENCEIn addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for...ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met, as client #1 was observed on at least 4 occasions within a 30-day period to be in a soiled diaper. Licensee failed to ensure that client who needed incontinent care as clean and dry, which posed a potential health, safety or personal rights risk to clients in care.

• 87609(b)(3)Type B

  ALLOWABLE HEALTH CONDITIONS & USE OF HOME HEALTH AGENCIESIncidental medical care may be provided to residents through a licensed HH agency provided...the licensee informs the HH agency of any duties the regulations prohibit facility staff from performing, and of any regulations that address the resident’s specific condition(s). This requirement was not met, as staff did not inform HH that they were not qualified to perform wound care nor that stage III pressure ulcers were prohibited, which posed a potential health, safety, or personal rights risk to clients in care.

• 87609(b)(4)(B)Type B

  ALLOWABLE HEALTH CONDITIONS & USE OF HOME HEALTH AGENCIESThe licensee & HH agency agree in writing on the responsibilities of the HH agency, & ...of the licensee in caring for the resident’s medical condition(s)... shall include day & evening contact information for the HH agency, & the method of communication between the agency & the facility, which may include ... logbook. This requirement was not met, as facility failed to maintain written record from HH of client's condition, which posed a potential health, safety or personal rights risk to clients in care.

• 87615(a)(1)Type A

  No stage 3 or 4 pressure injuries

  PROHIBITED HEALTH CONDITIONSPersons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a RCFE:Stage 3 and 4 pressure injuries.This requirement was not met, as former client was assessed to have stage III pressure injury on 3/27/24, which was being treated by home health. Licensee failed to relocate client to higher level of care or request exception from CCLD, which posed an immediate health, safety or personal rights risk to clients in care.