Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Request Denied
Type A
07/04/2024
Section Cited
CCR
87464(f)(1) | 1
2
3
4
5
6
7 | 87464 Basic Services. (f) Basic services shall at a minimum include: (1) Care and supervision ... means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living ... taking medications, money management, or personal care.
| 1
2
3
4
5
6
7 | Administrator stated to submit a plan of correction by the POC due date to provide the staff training of responsibility for providing care and supervision to residents and reporting resident's change in condition, and submit the training log to CCL office. |
 | 8
9
10
11
12
13
14 | This requirement was not met as evidenced by:Based on the interviews and record reviewed, the facility did not provide care and supervision for R1. R1 had a change of condition and was not reported, and the facility did not take action on R1's change of condition, which led to R1's hospitalization. | 8
9
10
11
12
13
14 | |
Request Denied
Type A
07/04/2024
Section Cited
CCR
87465(a)(1) | 1
2
3
4
5
6
7 | 87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility... shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.
| 1
2
3
4
5
6
7 | Administrator stated to submit a plan of correction by the POC due date and provide the staff training of arranging or assisting to arrange medical care for residents if residents have change in condition, and submit the training log to CCL office. |
| 8
9
10
11
12
13
14 | This requirement was not met as evidenced by: Based on the interviews and records reviewed, the facility did not assist or arrange medical care appropriately to the resident condition and needs when R1 had a change of condition, this poses/posed a immediate health and safety risk to persons in care. | 8
9
10
11
12
13
14 | |
NARRATIVE |
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32 | Staff did not ensure resident was fed, resulting in significant weight loss:
Resident R1 was admitted to the facility on 04/28/2023. R1 was able to eat and feed self.
On 05/31/2023, R1 was diagnosed with COVID and was isolated in his/her room. As R1's COVID progressed, R1 was getting weak and was unable to feed self without staff's assistance.
On 1/18/2024, the Department interviewed 5 staff. 4 out of 5 staff stated caregivers and Med Techs fed R1 during R1's isolation in his/her room. 1 out of 5 staff stated R1 did not lose weight during R1's stay in the facility. Resident R1 was eating less portion than usual. Facility staff encouraged R1 to eat more during R1's isolation period.
Based on R1's weight records on May 2023, and June 2023, R1's did not lose weight during R1's isolation period.
Staff do not maintain the facility in clean and sanitary condition:
On 05/31/2023, resident R1 was tested COVID positive and was isolated in his/her room.
It was reported that during R1's isolation period, R1's room was not maintained in clean and sanitary condition.
On 1/18/2024, the Department interviewed the temporary Executive Director (TED). TED stated during the COVID isolation period, housekeepers do not enter the resident isolation room to conduct deep cleaning until they receive notice that the resident is out of isolation.
The Department interviewed 5 staff. 5 out of 5 staff stated housekeepers did not enter R1's room to conduct deep cleaning during R1's isolation period. 3 out 5 staff stated caregivers cleaned R1's room during R1's isolation period. The caregivers took out plates, bowls, trays, and took garbage out from R1's room during R1's isolation period.
Continue on LIC9099-C. Page 2 of 3. |