Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
03/29/2024
Section Cited
CCR
87465(a)(4) | 1
2
3
4
5
6
7 | 87465(a)(4) Incidental Medical and Dental Care
(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:
(4) The licensee shall assist residents with self administered medications as needed.
This requirement is not meet as evidenced by:
| 1
2
3
4
5
6
7 | Licensee will ensure that all residents receives their PRN medication upon request. License to submit a declaration of understanding of the regulatory requirements for assisting with resident's PRN medication. |
 | 8
9
10
11
12
13
14 | Based on interviews, and records reviewed, the licensee did not comply with the section cited above. The licensee did not ensure that R1 PRN medications were administered to (R1) upon request. | 8
9
10
11
12
13
14 | Submission to the Department is by the POC due date 03/29/2024 by 5:00 PM end of day. |
Type A
03/29/2024
Section Cited
HSC
1569.69(a)(2) | 1
2
3
4
5
6
7 | §1569.69 Employees assisting residents with self-administration of medication; training requirements (a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee... (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training…
This requirement is not met as evidenced by:
| 1
2
3
4
5
6
7 | Licensee to ensure staff assisting residents in care with their medications receive necessary training per regulation prior to staff assisting with medication administration. License to submit a declaration of understanding of the regulatory requirements for assisting with resident's medication |
 | 8
9
10
11
12
13
14 | Based on record review and interview, the licensee did not comply with the section cited. 2 staff files reviewed, there was no evidence of medication training, prior to staff assisting residents in care with their medication which poses an immediate health, safety, or personal rights risk to persons in care. | 8
9
10
11
12
13
14 | by POC date 03/29/2024 by 5:00 PM end of day. On 01/16/2024. Staff received medication training from an outside vender. |