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Inspection visit

complaint

BOYD SENIOR CARE HOMELicense 0756013323 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

LIC9099-C Allegation: Staff mismanaged resident's medication Finding: Substantiated On 05/07/2025 LPA interviewed Witness (W) W1, W1 stated that R1 was not being administered prescription medication according to Doctor's orders. On 05/08/2025 LPA interviewed Staff (S) S1. LPA reviewed R1-R5 medication list and observed discrepancies with R2, R3, R4 and R5's medication lists and what was centrally stored medication. S1 stated that they get information of the medications from the resident's authorized representatives. LPA reviewed R1's medication list which was a new care plan as of 05/07/2025. S1 stated that R1's new medications hadn't delivered yet. Allegation: Staff threatened resident in care Finding: Substantiated On 05/07/2025 LPA interviewed Witness (W) W1. W1 stated that caregiver(s) threatened eviction of R1 due to behaviors of overnight insomnia and restless activity. On 05/08/2025 LPA interviewed S1 that stated it has been discussed because R1's behavior with getting up in the night, wandering and disrupting the other residents. LPA reviewed R1's physician's report which indicates a diagnosis of dementia. LPA asked S1 was there a change of condition since R1 was admitted and there hasn't been any changes. LIC9099-C Continued... Allegation: Staff did not properly maintain resident records Finding: Substantiated On 05/07/2025 LPA interviewed Witness (W) W1. W1 stated that administered medications were not being documented according to medication list. On 05/08/2025 LPA interviewed Staff (S) S1. LPA requested to review the medication records for administered medication for all residents from January thru May 2025. S1 stated that they didn't have records from January and only had record for current month. LPA reviewed the Medication Administration Record (MAR) for May and observed that residents' medication lists did not correlate with the MAR. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

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.

  • 87465(d)(3)Type B

    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 (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record.This requirement is not met as evidenced by: Based on observation, record review and interview, the licensee did not comply with the section cited above in by ensuring R1's thru R5's MAR were complete which poses a potential health and safety risk to persons in care.

  • 87468.2(a)(4)Type B

    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...that meet their individual needs and are delivered by staff...competency to meet their needs. Based on observation, record review and interview, the licensee did not comply with the section cited above in by ensuring R1 thru R5 medications were administered according to doctor's orders including but not limited to presciptions and non-prescriptions which poses a potential health and safety risk to persons in care.

  • 87705(b)(1)(A)Type B

    87705 Care of Persons with Dementia(b) Licensees shall be responsible for the following:(1) Ensuring staff receive the following training...(A) Dementia care, including, but not limited to, knowledge about ...behavioral challenges....This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above in by handling dementia care residents that may have including but not limited behavioral challenges that may be difficult for staff to handle. Staff caregiver stated possible eviction of R1 which poses a potential health, safety risk and personal rights to persons in care.

  • 87628(a)Type A

    87628 Diabetes(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional.This requirement is not met as evidenced by: This requirement is not met as evidenced by: Based on record review and interview conducted, R4 is diabetic and per dr's medication orders requires insulin injections daily at night. However, R4 is unable to check own blood sugar and administer own injections per current physician's report, which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 8, 2025 inspection of BOYD SENIOR CARE HOME?

This was a complaint inspection of BOYD SENIOR CARE HOME on May 8, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to BOYD SENIOR CARE HOME on May 8, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription ..."

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.