Merrill Gardens at Rockridge

87413 Personnel - Operations(a) In each facility:(2) Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice.This requirement is not met as evidenced by… Based on record review and interview, the licensee did not comply with the section cited above. The caregiver hit resident's lower body was witnessed by a neighbor and video recorded as evidence which poses an immediate health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed staff didn't administer medication to resident timely poses an potential health, safety or personal rights risk to persons in care.

87463 Reappraisals(a)The pre-admission appraisal shall be updated, in writing as frequently as necessary….This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed that staff didn't update care plan for resident who was admitted to hospice in May 2022 which poses a potential health, safety or personal rights risk to persons in care.

87412 Personnel Records(c)Licensees shall maintain in the personnel records verification of required staff training and orientation.This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed staff training records on and before September 2022 was not available for CCL to review which poses a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful...This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed staff crossover working between Covid-19 positive and negative residents which poses a potential health, safety or personal rights risk to persons in care.

87411 Personnel Requirements-General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...facilities licensed for sixteen or more, sufficient support staff shall be employed…..This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. Insufficient staff was observed on work schedule in July 2022 which poses a potential health, safety or personal rights risk to persons in care.

87463 Reappraisals(a)The pre-admission appraisal shall be updated, in writing as frequently as necessary….This requirement is not met as evidenced by… Based on observation the licensee did not comply with the section cited above. LPA observed that care plan has not been updated for residents who change in health condition since 2019 which poses a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility,,,(5) Facility staff, except those authorized by law...Assistance with self administered medications shall be limited to the following:(A) Medications usually prescribed for self-administration which have been authorized by the person's physician.This requirement is not met as evidenced by… Based on observation, interview, and record review, the licensee did not comply with the section cited above. Wrong medication was given to R1 which poses an immediate health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, 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 is not met as evidenced by: Based on interviews conducted and records reviewed, facility staff failed to respond to R1’s pendant call for assistance in a timely manner which poses a potential risk to the health and safety of resident under care.

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility’s emergency call button had technical issues which poses a potential risk to the health and safety of clients under care.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department or(2) This requirement is not met as evidenced by: Based on the Department’s investigation, a staff working at the facility was not cleared or associated to the facility which poses an immediate threat to the health and safety of clients under care.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, one staff working at the facility was not cleared or associated to the facility.which poses a immediate risk to the health and safety of resident under care.