Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
09/28/2020
Section Cited
| 1
2
3
4
5
6
7 | 87615(a)(1)Prohibited Health Conditions
Residents with prohibited conditions shall not be admitted or retained. This requirement was not met as evidenced by: |  |  |
 | 8
9
10
11
12
13
14 | Based on LPA observation, interview and record review CCL learned that facility retained R1 who had unstageable pressure ulcers, a Prohibited Condition. This is an immediate risk to the health safety and personal rights to residents in care.
| 8
9
10
11
12
13
14 | with all staff. Licensee agrees to schedule training by POC due date of 9/28/2020. Updated policy and procedures and proof of training including trainer, topics, date/time spent, & attendees is to be submitted to CCL by 10/12/2020. Licensee also agrees to update all relevant documentation for R1 and submit to LPA by 10/12/2020. |
Type B
10/12/2020
Section Cited
| 1
2
3
4
5
6
7 | 87211 Reporting Requirements- (a) Each licensee shall furnish to the licensing agency such reports..(1)A written report shall be submitted to the licensing agency…within seven days…(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met as evidenced by: |  |  |
 | 8
9
10
11
12
13
14 | Based on LPA observation, interview and record review an incident report was not sent into CCL when R1 had prohibited condition. This is a potential risk to the health, safety and personal rights of residents in care. | 8
9
10
11
12
13
14 |  |