Better Living Care Home

87465 Incidental Medical and Dental Care(d)If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met:This requirement is not met as evidence by: Based on observations, interviews and record reviews, the licensee did not comply with the section cited above in by not following R1’s doctor’s orders with administering prescribed medication orders including but not limited to daily use with a CPAP machine and CPAP mask during sleep, which poses a potential 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:(8) To be free from neglect, financial exploitation, involuntary seclusion, punishment,humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement is not met as evidence by: Based on observations, interviews and record reviews, the licensee did not comply with the section cited above in by isolating R1 from other residents during meals, watching television which poses a potential health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia(b) Licensees shall be responsible for the following: (1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation: (A) Dementia care, including, but not limited to, knowledge about hydration, nutrition, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living;(B) Recognizing symptoms that may create or aggravate behavioral expression, as defined in Section 87101, Definitions, including, but not limited to, dehydration, urinary tract infections, and problems with swallowing; andThis requirement is not met as evidence by: Based on observations, interviews and record reviews, the licensee did not comply with the section cited above in by providing to R1, the "Care of persons with Dementia", by recognizing symptoms that may create or aggravate behavioral expression, including, but not limited to, dehydration, urinary tract infections, and problems with swallowing; and spitting which poses a potential health, safety or personal rights risk to persons in care.

87609 Allowable Health Conditions and the Use of Home Health Agencies(b) Incidental medical care may be provided to residents through a licensed home health agency...(4) The licensee and home health agency agree in writing on the responsibilities...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not having home health records on file for R1 while in care which posed a health and safety risk to persons in care.

(c) Licensees who accept and retain residents with dementia...(6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not updating annual medical assessments and Appraisal Needs and Services Plans (ANS) for R1 who developed blisters and was noted by Administrator on 10/08/20 while in care which posed a health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in by not having updated Appraisal Needs and Services (ANS) for R1, R6 and R7 which poses a potential health and safety risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in by not having an official Doctor's order by Licensed Health Professional for 1/2 rail bed and/or hospital bed for R1, R2, R4, R5, R6, R7 which poses a potential health, safety or personal rights risk to persons in care.

87506 Resident Records..(d) All resident records be available to the licensing agency,,upon demand during normal business hours. (e) Original records or...shall be retained for a minimum of three (3) years...

Based on record review, the licensee did not comply with the section cited above by locking side gate which poses an immediate health and safety risk to persons in care.