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Inspection visit

complaint

ROSELEAF OROVILLELicense 0450027731 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Page 2 Facility is not dispensing medication as prescribed by physician – SUBSTANTIATED LPA reviewed admission agreement that shows that Resident 1 (R1) moved into the facility on 2/13/2024. LPA reviewed Medication Administration Record (MAR) for R1 dated March 3, 2024 through March 30, 2024. The MAR reflects that during this time period R1 missed all doses of the following medications on the following dates: Divaloprex Sodium Oral Tablet Delayed Release 250 mg: Start date 02/13/2024. Not dispensed 03/03/2023 through 03/20/2024. Donepezil HCI Oral Tablet 10 MG Start date 1/27/2024. Not dispensed 03/03/2023 through 03/20/2024. Escitalopram Oral Tablet 5mg: Start date 2/14/2024. Not dispensed 03/04/2023 through 03/20/2024. Furosemide 20 mg: Start date 2/13/2024. Not dispensed 03/02/2023 through 03/20/2024. Melatonin Oral Tablet 3 MG: Start date 3/15/2024. Not dispensed 03/15/2023 through 03/22/2024 2024. Multiple Vitamin oral tablet: Start date 3/5/2024. Not dispensed 3/16/2024 through 03/31/2024. Polythylene Glycol 3350 ORAL Powder: Start date 3/15/2024. Not dispensed 3/16/2024 through 3/31/2024. Continued on LIC9099-C pg 3 Page 3 Quetiapine Fumarate Oral Tablet 25 MG: Start date 2/14/2024. Not dispensed 03/07/2024 through 03/20/2024. Spironolactone Oral Tablet 25 MG: Start date 2/14/2024. Not dispensed 3/02/2024 through 3/20/2024. Vitamin D (Cholecalciferol) Oral capsule 50 MCG: Start date 3/15/2024. Not dispensed 3/16/2024 through 3/28/2024. Ferrous Sulfate Oral Tablet 325 (65 Fe) MG: Start date 03/15/2024. Not dispensed 3/16/2024 through 3/28/2024. All of the aforementioned medications have exception reasons noted in the MAR that say “Not on Hand”, or Waiting on Pharmacy.” Staff interviews revealed that R1 ran out of multiple medications. It was determined that the facility did not ensure that R1 was dispensed their medications as prescribed by their physician due to R1 running out of multiple medications. This allegation is substantiated. Upon inspection of the facility’s compliance history, LPA determined that the licensee was issued a deficiency for the same violation within the past 12 months. As a result, a civil penalty was assessed in the amount of $250.00 on 04/23/2024 on the attached LIC421. Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview conducted and a copy of the report was provided to COO Diania Bingham.

Citations

3 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.

  • 87506(a)Type B

    87506(a) Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff. This requirement was not met as evidenced by: Based on interviews and document review it was determined that the paper file for R1 was not on file and the facility had not entered the resident’s record into their database where it could be accessed by facility staff. This resulted in staff not being able to provide EMS with the identifying records that are required by EMS in order to transport a resident to hospital. This poses a potential health and safety risk to residents in care.

  • 87465(a)(4)Type A

    87465(a)(4) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and document review it was determined that R1 ran out of multiple medications for a period ranging from 8 to 18 days. This poses an immediate health and safety risk to residents in care.

  • 87468.1(a)(1)Type B

    87468.1 (a)(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: (1) To be accorded dignity in their personal relationships with staff. This requirement was not met as evidenced by: Based on interviews it was determined that S4 yelled at residents. This poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 23, 2024 inspection of ROSELEAF OROVILLE?

This was a complaint inspection of ROSELEAF OROVILLE on April 23, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ROSELEAF OROVILLE on April 23, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87506(a) Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for ..."

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.