Aa Best Care Homes

Type A - §1569.269 Enumerated rights; severability (a) Residents of RCFE facilities for the elderly shall have all of the following rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement has not been met as evidence by: Based on interviews with residents and staff, the facility staff (S1) yells at residents resulting in residents keeping their heads down and withdrawing from conversations to prevent S1 from raising their voice at them, which poses an immediate risk to the health and safety of clients in care.

Based on LPA/Back up administrator measured water temperature in resident's bathrooms, the licensee did not comply with the section cited above inmeasured at 121.8 and 121.6 degrees F, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA/back up Administrator the licensee did not comply with the section cited above there were electrical face plates in the dining room exposing cables, ceiling holes are exposing cables, walls in room #6, bathroom #6 ceiling has mold, debris of bed in the backyard, corner wall in the corner of wing B needs to be repaired, wall in room #15 needs to be painted, shared bathroom #27 in wing B mirror needs to be replaced it has mold, hallway restroom in wing B floor needs to be repaired. There were insects: ants, spiders and spider webs inside of resident's bedrooms. Two window screens needs to be repaired or replaced which poses an immediate health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above in not paying the annual fee. As of 7/24/2025, licensing fees and late fees equals a total of $1,238.00 which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above in 9 out of 9 residents (R1, R2, R3, R4, R5, R6, R7, R8 & R9) needs their care plan to be updated, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that the facility is not conducting fire and emergency drills per regulation with the last disaster drill having taken place in July, 2024 which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in that staff member (S1, S2, S3 & S4) did not have current First Aid or CPR certification on file which poses a potential health, safety or personal rights risk to persons in care.

Type A §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 have a bug infestation which poses an immediate health and safety risk to residents in care.

Type A – 87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met. (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement has not been met as evidence by: Based on LPA’s observations, records review and interviews with Administrative Assistant, R1 has not been assisted with their psychiatric medications since 12/17/24, which poses an immediate risk to the health and safety of residents in care.

87405 Administrator - Qualifications and Duties 87405 (a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on LPA's/Licensee observation, interviews and record review, the licensee did not comply with the section cited above in that Licensee/Administrator keeps failing to follow up with the Department Certification Unit, which poses an immediate health, safety, or personal rights risk to persons in care.

§1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 have a bug infestation which poses an immediate health and safety risk to residents in care.

87405 Administrator - Qualifications and Duties 87405 (a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on LPA's/Licensee observation, interviews and record review, the licensee did not comply with the section cited above in that Licensee/Administrator Nick Aquino does not have a certified administrator from CCL, which poses a immediate health, safety or personal rights risk to persons in care.

§1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful, and comfortable accommodations which resulted in R1 sustained extreme matted, and lice infested hair which poses an immediate health and safety risk to residents in care.

Based on LPA's/Admin Asst. observation, interview and record review, the licensee did not comply with the section cited above in bathroom #2 windowsill have paint bubbles need to be cleaned; bathroom #1 sink needs to be cleaned; Resident's room (room # 10, 11, 13 and 17) window screens are missing. Face plate needs to be replaced in room #10, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's/acting administrator observation, records review and interview, the licensee did not comply with the section cited above by not obtaining a valid administrator certification after informal meeting conducted on 6/28/23 with the Department or appointing an individual who had a valid administrator certificate, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's/Administrative Asst observation, interview and record review, the licensee did not comply with the section cited above by not conducting a drill at least quarterly for each shift, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA's/Administrative Asst observation, interview and record review, the licensee did not comply with the section cited above in four out of four staff have not completed their additional 20 hours annually, which poses/posed a potential health, safety or personal rights risk to persons in care.

Type A §1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidence by: Based on LPA record review and interviews conducted the facility did not ensure R1 was accorded safe, healthful and comfortable accommodations which resulted in R1 and R2 sustaining injuries which poses an immediate health and safety risk to residents in care.

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above because LPA/staff observed one resident's bedroom door was missing, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not maintaining a Centrally Stored Medication Log which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above because LPA/staff observed one out of four bathrooms used by residents located in wing "A" had a urine smell, ceiling in the bathtub area was peeling off, the bathtub was dirty and unsanitary including curtain that needs to be replaced, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having the evening medications already poured and being stored in a separate container, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 6 staff have not complete 20 additional hours training requirements, which poses/posed a potential health, safety or personal rights risk to persons in care.

***duplicate. Citation already issued under CCR 87465 (h)(6)

87463(c) Reappraisals- (c)The licensee shall arrange a meeting with the resident, the resident’s representative... when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first... This requirement has not been met as evidenced by: Based on LPA/Administrator's file review showing that resident's care plans for 2 out of 2 residents (R1 & R2) were not been performed and signed by the resident of their representative within last 12 months. This is a potential risk to the health and safety of residents in care.

Type B 87465 Incidental Medical and Dental Care (e) For every prescription & nonprescription PRN med…there shall be a signed, dated written order from a physician maintained in the residents file, & label on the med.1)Meds shall be centrally stored...: (C) Because of potential dangers related to the med itself &to be a safety hazard to others. This requirement has not been met as evidence by: Based on records review and interviews conducted with Administrator, the facility did not ensure that two out of four residents that smoke marijuana in the facility obtained a doctor’s order prior to be used by residents which poses a potential risk to the health and safety of residents in care.

Based on observation and interviews conducted with Licensee, the facility did not ensured that expired food located in the pantry closet and in the refrigerator was discarded which is an immediate health and safety risk to residents in care.

Type A 87470 Infection Control Requirements. A licensee shall ensure that inf. control practices are maintained as follows: a) when 1 or more residents in the facility are diagnosed with a communicable disease...: (2) All staff providing direct care to a resident who has a communicable disease shall wear appropriate PPE...This req has not met as evidence by Based on observations made during a tele-visit on 5/5/22 with Administrator did not ensure to follow their current Mitigation Plan dated 1/14/21 and were observed not wearing a mask after one or more residents in the facility were diagnosed with a communicable disease which poses an immediate risk to the health and safety of residents in care.

Based on LPA observation, record review and interview with Licensee did not ensure to obtain a criminal record clearance for individual (I1) prior to work, reside or provide care to residents in care which poses an immediate health, safety and personal rights risk to residents in care. ***Civil Penalty is being assessed for the amount of $100 per day.

80072 Personal Rights (a)... residential facilities, each client shall have personal rights which include, but are not limited to, the following: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement has not been met as evidence by: Based on interviews and record review, Licensee did not ensure the personal rights of persons in care to safe & health accomodations. Staff did not screen LPA for Covid19 symptoms to prevent entry of possible infected persons and to be in compliance with CCL guidelines which poses/posed an immediate health, safety or personal rights risk to persons in care.

87465 (h)(6)(D) Incidental Medical & Dental Care.The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least 1 yr & includes: (D) The date filled. This requirement has not been met as evidence by: Based on observation, records review & interviews with staff, Licensee did not ensure proper management of medication. LPA/Licensee conducted a medication audit & found multiple medication errors for R1's meds which poses an immediate health & safety risk to resident in care.