Constant Care III Loma Linda

A revisit survey was completed on 8/6/25 for all previous deficiencies cited on 9/16/24. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A licensure complaint, prompted by #CO32443 and #CO36436, was completed on 9/16/24. Deficiencies were cited. Based on record review and interview the residence failed to ensure that each staff member met the dementia training requirements in 7.9(B), affecting seven current residents. (Cross-reference S3076)Findings include:On 9/16/24 at approximately 11:30 a.m., personnel files for Staff #1, #4, and #5, provided by the director, revealed no evidence that the direct care staff members met the dementia training requirements in part 7.9(B). On 9/16/24 at approximately 12:00 p.m., the administrator acknowledged Staff #1, #4, and #5 did not have dementia training. She confirmed the residence failed to follow the regulation as required. Based on record review and interview, the residence failed to ensure there was at least one staff member onsite at all times with current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting seven current residents. (Cross-reference S3076)Findings include:On 9/16/24, personnel records provided by the administrator included certificates of completion in CPR training that read that Staff #1 completed CPR training from an organization that was not nationally recognized. The September 2024 staff schedule revealed that all shifts from 9/2-9/5/24 and 9/9-9/12/24 were worked by Staff #1.On 9/16/24 at approximately 12:00 p.m., the director acknowledged that the CPR training received by Staff #1 was not from a nati.. Based on record review and interview, the residence failed to provide, within 60 days, a minimum of six (6) hours of general training and education on providing care and services for residents with dementia/cognitive impairment, affecting seven current residents residing in the secure environment. Findings include:On 9/16/24 residence personnel files for Staff #2, #4, and #5 revealed the staff did not complete the required six-hour dementia training. The September 2024 staff schedule revealed that shifts from 9/2-9/5/24 and 9/9-9/12/24 were worked by Staff #2 and shifts from 9/1/24-9/6/24 and 9/9-9/12/24 were worked by Staff #4 and #5.On 9/16/24 at approximately 12:00 p.m. the director was unable to provide the required dementia training for Staff #1, #4 and #5. She confirmed the residen.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7 and Chapter 2.10.3 The assisted living residence shall develop and follow written policies and procedures to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency including, but not limited to, a long-term power failure.10.6 Each assisted living residence ' s emergency policies shall address, at a minimum, all of the following items:(D) A pre-determined means of communicating with residents, families, staff and other providers;(E) A plan that ensures the availability of, or acces..

A revisit survey was completed on 4/16/24 for all previous deficiencies cited on 3/15/23. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure survey, with complaint #CO30008, was completed on 3/15/23. Deficiencies were cited. A change of ownership occurred on 6/15/21. Based on interview and record review, the residence failed to have at least one staff member onsite at all times who had current certification in first aid from a nationally recognized organization, affecting eight current residents. (Cross-reference Q734)Findings include:1. References and Residence Policya."Earn your CPR and First Aid certificatio.. Based on interview and record review, the residence failed to hold quarterly meetings to allow residents, their family members, friends and representatives to provide mutual support and share concerns about the care and services with the secure environment, affecting eight current residents.Findings include:1. Residence PolicyThe residence' s Secure.. Based on observation and interview, the residence failed to provide screens or other pest control measures on all exterior openings, affecting eight current residents.Findings include:1. Residence Policiesa. The residence' s Policy and Procedures Manual, dated May 2021, read in part: "Windows: Screens cleaned as needed."b. The residence' s Environm.. Based on observation, interview and record review, the residence failed to ensure all refrigerated medications were stored in a refrigerator that was inaccessible to residents, affecting eight current residents who resided in a secure environment.Findings include:1. ReferenceThe residence' s Medication Administration Management Errors policy, date.. Based on observation, record review and interview, the residence failed to ensure dishes were washed with no-rinse food contact sanitizer or in a domestic dishwashing machine, affecting eight current residents.Findings include:1. Residence PolicyThe residence' s Policies and Procedures Manual, dated May 2021, read in part: "Cleaning and sanitizi.. Based on observation, record review and interview, the residence failed to ensure exterior ramps were maintained in good repair, affecting eight current residents.Findings include:1. Residence PolicyThe residence' s Secure Environment policy, dated May 2021, read in part: "This facility ensures that residents have freedom of movement to common are.. Based on observation, record review and interview, the residence failed to mark opened or prepared food that was not used within 24 hours with a "use by" or "discard by" date seven calendar days following opening or preparation, affecting eight current residents.Findings include:1. Residence PolicyThe residence' s Policies and Procedures Manual,.. Based on record review and interview, the administrator failed to manage the overall operations of the residence. Specifically, the administrator failed to ensure infection control processes were established and maintained to help prevent the possible development and transmission of coronavirus (COVID-19), affecting eight current residents.Findi.. Based on record review and interview, the residence failed to develop policies and procedures regarding the investigation of injuries of known or unknown source/origin, affecting eight current residents. Findings include:On 3/15/23 at approximately 10:00 a.m., the residence' s injuries of known or unknown source/origin was requested. Ho.. Based on record review and interview, the residence failed to ensure at least one staff member was on site at all times who had current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization such as the American Red Cross, the American Heart Association, the National Saf.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.12.9 The comprehensive assessment shall be updated for each resident at least annually an..