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Inspection visit

Follow-up on corrections

A PEACE OF HOMELicense 5676099291 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This report was amended on 03/27/2023 due to additional information obtained. During the complaint investigation of complaint #29-AS-20221025102303, the following deficiencies were observed: On 05/17/2022, Resident #1 (R1) was diagnosed with an acute urinary tract infection (UTI). On 10/23/2022, R1 sustained an unwitnessed fall resulting in bruises and left femur fracture. Family Representative stated they were not notified of the incident. Administrator and staff stated they did notify family the day of R1's incident. There was a Special Incident Reports (SIRs) submitted to Community Care Licensing (CCL) that was misfiled. On 10/23/2022, at 8:00am, staff discovered R1 had multiple bruises, was unable to get out bed and walk. At 1:00 p.m., R1’s representative observed that R1 was in pain and took R1 to the hospital where R1 was diagnosed with a left femur fracture. Citations issued, exit interview, appeal rights given.

Citations

2 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.

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care (a)(1) (a) (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as staff did not obtain timely medical attention for R1 when R1 was discovered with multiple bruises and unable to walk on their own, and was later diagnosed with a fractured left femur, which posed an immediate health and safety risk to residents in care.

  • 87466Type B

    87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided... ensure that such 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, R1’s resident representative/physician was not notified when R1 had a change of condition, which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 23, 2023 inspection of A PEACE OF HOME?

This was a other inspection of A PEACE OF HOME on March 23, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to A PEACE OF HOME on March 23, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a)(1) (a) (1) The licensee shall arrange, or assist in arranging, for medical..."

What type of inspection was this?

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

SourceView on CCLDView original report

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