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Inspection visit

complaint

OAKLAND HEIGHTS SENIOR LIVINGLicense 0192005133 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff fail to change resident’s diaper frequently and when wet Investigation Finding: SUBSTANTIATED Based on interviews and records reviews, R1 was being treated for wound care by a home health nurse at the facility from 5/18/20 to 8/7/20. On 7/11/20, HHN observed a new red wound at the left buttock and on 7/24/20 instructed staff to change R1 promptly after each episode of incontinence to prevent deterioration of the wounds. On 8/5/20, HHN observed that R1s wound was not progressing due to continuing urine contamination. The preponderance of evidence has been met. Therefore, the allegation is substantiated. Allegation: Staff fail to reposition resident several times a day using proper technique Investigation Finding: SUBSTANTIATED Based on interviews and record reviews, HHN notified staff to reposition R1 every 2 hours while in bed and keep R1 clean and dry at all times for wound to heal on 06/24/20 and 07/06/20. On 06/26/2020 HHN brought in Occupational Therapist (OT) to train staff on proper resident repositioning techniques. On HHN’s routine wound care visit dated 07/11/20, a new wound on the left buttock which was observed to be red and reported this to staff. HHN again instructed staff to reposition R1 every 2 hours in bed and encourage R1 to hydrate and eat food. Upon review, it was found that this direction was not added to the care plan. The preponderance of evidence has been met. Therefore, this allegation is substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POCs) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal Rights and a copy of this report provided via email.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87411(c)(3)(B)Type B

    Personnel requirements - GeneralAll RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (3) The training shall include, but not be limited to, the following: (B) Importance and techniques of personal care services, including but not limited to, bathing, grooming, dressing, feeding, toileting, and infection control… This requirement was not met as evidenced by staff failing to reposition resident which posed a potential health & safety risk to resident in care

  • 87464(f)(4)Type B

    Basic ServicesBasic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications… This requirement was not met as evidenced by staff failing to reposition resident in bed which posed a potential health & safety risk to resident in care

  • 87468.2(a)(4)Type B

    Personal Rights(a) …residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by resident sustaining pressure injuries while in care which posed a potential health & safety risk to resident in care

  • 87307(d)(2)Type B

    Personal Accommodations & Services: The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by non functioning building elevator, exterior doors & FOB keys which posed a potential Health & Safety risk to residents in care

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2022 inspection of OAKLAND HEIGHTS SENIOR LIVING?

This was a complaint inspection of OAKLAND HEIGHTS SENIOR LIVING on April 26, 2022. 3 citations were issued: 3 Type B.

Were any citations issued to OAKLAND HEIGHTS SENIOR LIVING on April 26, 2022?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "Personnel requirements - GeneralAll RCFE staff who assist residents with personal activities of daily living shall recei..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.