Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
06/19/2024
Section Cited
CCR
87466 | 1
2
3
4
5
6
7 | 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 when such observation reveals unmet needs. ... the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. | 1
2
3
4
5
6
7 | Licensee to submit a plan to address staff observation and reporting and provide in-service training for staff. Licensee to submit plan before POC Due Date. |
| 8
9
10
11
12
13
14 | This was not met as evidenced by:
Based on interviews, S2 confirmed that the bruising was not reported by staff to management, which poses an immediate health, safety, or personal rights risk to clients in care.
| 8
9
10
11
12
13
14 | |
Type B
06/19/2024
Section Cited
CCR
87211(a)(1)(D) | 1
2
3
4
5
6
7 | 87211 Reporting Requirements(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including... (1)A written report shall be submitted... This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name... (D)Any incident which threatens the welfare, safety or health of any resident... | 1
2
3
4
5
6
7 | Licensee to submit a plan to address reporting requirements and provide in-service training for staff. Licensee to submit plan before POC Due Date. |
| 8
9
10
11
12
13
14 | This was not met as evidenced by:
Based on records review, Licensee did not submit an incident report regarding R1s bruising, which poses an immediate health, safety, or personal rights risk to clients in care.
| 8
9
10
11
12
13
14 | |