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Inspection visit

Routine inspection (multi-day)

COMFORTS OF HOME SENIOR CARE, INC.License 42580177735 citations on this visit
35 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst's (LPA's) De Leon and Kontilis conducted a CM-Annual Continuation visit to the facility above. LPA's met with Gary Gleissner, Licensee and Trina Dellinger-Gleissner Administrator/Licensee and explained the purpose of the visit. LPA's checked on the prior Deficiencies and Technical Violations to make sure they were completed. Several Technical Violations were not completed on the continuation visit. LPA's asked to review Resident records, Staff records, Staff training. Administrator was not able to provide LPA's records or training to review on visit. Administrator stated she would work on getting records to LPA's for review but could not provide them at the time of the visit. LPA De Leon completed a medication review on resident. LPA Kontilis interviewed 3 residents and 2 staff on duty. Exit interview conducted, deficiencies cited, technical violations issued, copy of report and appeal rights printed for Administrator.

Citations

35 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.626(a)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have traning records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(a)Type B

    Based on record review], the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have trianing records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(g)Type B

    Maintain personnel records at facility location

    Based on observation record review, the licensee did not comply with the section cited above in 4 out of 4 staff records were not being maintained at the facility for review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Record dose details and resident medication response

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87606(f)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(3)(A)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(5)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.618(c)(3)Type A

    Based on observation, record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(c)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not have these records available to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(5)(A)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(6)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not habe records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on Record review the licensee did not comply with the section cited above in 4 of 4 staff which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.626(a)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review for staff trianing which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(a)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.695(b)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • First aid training requirements

    Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 4 Staff did not have records of 1st aid traning or cards which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(d)Type B

    On-the-job training requirements

    Based on observation and record review, the licensee did not comply with the section cited above in 4 of 4 staff records were not avaibale for review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87412(f)Type B

    Allow licensing inspection and controlled record removal

    Based on observation and record review, the licensee did not comply with the section cited above the Facility did not have personnel records to review at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87462Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 resident did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(b)Type B

    Permit PRN self-administration with written ability

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 reisdents did not have LIC 602A to review for this requirement which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Document each PRN medication dose taken

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not have these records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)Type B

    Assist PRN administration when symptoms unclear

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 residents did not have records to reviwew for this requirement which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 out of 5 records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.267(d)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have reocrds to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.7Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(2)Type B

    Based on record review, the licensee did not comply with the section cited above in 5 of 5 reisdents did not have records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(c)(8)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have the required dementia training records which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have trianing records to review to met this requirement which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.625(b)(2)Type B

    Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 4 Staff which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(a)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have trianing records to review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff trianing records were not avaiable to review which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 17, 2023 inspection of COMFORTS OF HOME SENIOR CARE, INC.?

This was an other inspection of COMFORTS OF HOME SENIOR CARE, INC. on March 17, 2023. 35 citations were issued: 1 Type A (serious) and 34 Type B.

Were any citations issued to COMFORTS OF HOME SENIOR CARE, INC. on March 17, 2023?

Yes, 35 citations were issued (1 Type A, 34 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff did not have tranin..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.