Follow-up on corrections·April 8, 2025

Citations

5 citations recorded^*CCLD

• 87203Type A

  Maintain facilities for fire and panic safety

  87203 Fire SafetyAll facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panicThis requirement is not met as evidenced by: Based on observation and interview, the licensee did not compy with the above cited section, as 2 (two) smoke detectors were removed from the facility common areas for a minimum of 2 (two) days, which poses an immediate health and safety risk to persons in care.

• 87211(a)(1)Type B

  Report specified resident events within seven days

  87211 Reporting Requirements (a) (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days...name, findings, and treatment, if any; and disposition of the case.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as no incident reports nor death reports have been received at the Regional Office since the facility opened, which poses a potential personal rights risk to residents in care.

• 87468.1(a)(16)Type A

  Right to accept or decline care or services

  87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as R1's medications were delivered to the facility, but were not provided to R1 nor their hospice provider informed of their arrival, which posed an immediate health risk to resident in care.

• 87468.1(a)(2)Type B

  Safe, healthful, comfortable accommodations

  87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the above cited section as Administrator was upset and was having a "heated" conversation with R1's hospice nurse in front of R1, which posed a potential personal rights risk to residents in care.

• 87507(f)Type B

  Comply with all admission agreement terms

  87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as R1's signed Admission Agreement nor care plan indicated the need for a 1:1 caregiver, and no new care plan was completed and agreed upon, which posed a potential personal rights risk to R1.