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True or False:
The facility handles resident cash resources. Personal property and valuables are commingled with the facility’s petty cash.
Medications are given per physician’s orders and PRNs and centrally stored medicines. Facility does not handle resident cash resources. Personal property and valuables are stored separate and intact, and are not commingled with facility’s funds or petty cash. Facility does not have a pool or bodies of water.
The alarm went off for 15 seconds but the doors would not open so staff came and unlocked the exit door and informed LPA that they keep it locked so residents do not __________________.
When LPA pushed the door by the elevator, the alarm went off for 15 seconds but the doors would not open after the 15 seconds were up and staff came and unlocked the exit door and informed LPA that they keep it locked so residents do not fall down the stairs. Facility is only approved for Delayed egress on exterior doors on the 2nd floor in Building B.
True or False:
LPA observed that resident #7 had refused medication Dok 100 mg but resident’s physician/hospice agency had been immediately notified.
During medication review with med tech/staff #5, LPA observed that resident #7 had refused medication Dok 100 mg, resident’s physician/hospice agency was not notified.
Match this deficiency with the proper Plan of Correction.
The facility shall be clean, safe, sanitary and in good repair at all times. During tour of facility, LPA could smell a strong urine odor upon entrance by beauty parlor on the first floor in building B.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 08/03/2017 Section Cited 87203 | Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. During visit LPA observed facility does not have approval from Fire Department or CCL to have locked perimeters. LPA observed and took pictures of exit gates through out the facility to all have locks or be locked. (Immediate Civil Penalty will be issued). | Licensee shall not lock any of the gates throughout the facility as it blocks a fire exit. All gates shall be kept unlocked 24/7. Licensee shall submit pictures and statement of understanding to LPA by POC due date. Civil Penalty will be issued. |
| Type A 08/03/2017 Section Cited 87705(l)(1) | During visit LPA observed facility to have locks placed on both delayed egress exit doors, one by elevator and one by the caregiver office on the 2nd floor in Building B, which is for Dementia residents only. When LPA pushed the door by the elevator, the alarm went off for 15 seconds but the doors would not open after the 15 seconds were up, and staff came and unlocked the exit door and informed LPA that they keep it locked so residents do not fall down the stairs. Facility is only approved for Delayed egress on exterior doors on the 2nd floor in Building B. | All locks shall be immediately removed from the delayed egress doors. 15 second alarms shall work accordingly. Licensee to submit statement of understanding and self certification for delayed egress doors to LPA by POC due date. |
| Type A 08/03/2017 Section Cited 87303(i)(A) | Maintenance and Operation. LPA observed signal system on the 2nd floor in Building B was not operating for room 22A and room 21 A. | Licensee shall fix or replace signal system. Licensee shall submit receipt or provide name of company and appointment date of when this item will be fixed to LPA by POC due date. |
| Type A 08/03/2017 Section Cited 87303(a) | Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. During tour of facility, LPA could smell a strong urine odor upon entrance by beauty parlor on the first floor in building B. | Licensee to ensure facility is kept odor-free at all times/submit plan/statement of understanding to LPA by POC due date. |
| Type A 08/04/2017 Section Cited 87465(c)(2) | During medication review with med tech/staff #5, LPA observed that resident #7 had refused medication Dok 100 mg on 8/1/17 and 8/2/17, resident’s physician/hospice agency was not notified. | Licensee shall have In Service Training with all staff and submit statement of understanding and training log to LPA by POC due date. |
| Type B 08/11/2017 Section Cited 87705(8) | Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff. Facility conducted last disaster drill on 12/12/16. | Licensee shall submit copy of update disaster drill to LPA by POC due date. |
