Follow-up on corrections·April 14, 2022

Citations

5 citations recorded^*CCLD

• 87211(a)(1)(D)Type B

  87211(a)(1)(D) Reporting Requirements. A written report shall be submitted to the licensing agency ... within seven days of the occurrence: Any incident which threatens the welfare, safety, or health of any resident.This requirement is not met as evidenced by: Based on interviews and documents received, the licensee did not comply with the section cited above as one (1) incident report was never received and two (2) other incident reports were not received by CCL within 7 days of occurrence, which poses a potential health and safety risk to residents in care.

• 87463(c)Type B

  87463(c) Reappraisals. (c)The licensee shall arrange a meeting with the resident, the resident’s representative and a representative of the resident’s HH when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as the licensee did not inform R1’s POA about the change in R1’s condition, which poses an immediate health and safety risk to residents in care.

• 87468.2(a)(19)Type B

  87468.2(a)(19) Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately... (19) To have prompt access to review all of their… records shall be provided within two (2) business days…This requirement was not met as evidenced by: Based on interviews, and record review, the licensee did not comply with the section cited above as they failed to produce requested records to POA within the time allotted by regulation of two (2) business days, which poses a potential risk to the personal rights of residents in care.

• 87615(a)(1)Type A

  87615(a)(1)Prohibited Health Conditions Persons who require health services or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: Stage 3 and 4 pressure sores (dermal ulcers).This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above as R1 developed an unstageable pressure injury and was retained at the facility without being under hospice care, which poses an immediate health and safety risk to residents in care.

• 87668.2(a)(19)Type A

  87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning… changes are documented and brought to the attention of the resident's physician and the resident's responsible person.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as the facility did not properly report or document R1’s change in health condition with both R1’s PCP and POA, which poses an immediate health and safety risk to residents in care.

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