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Inspection visit

Complaint

WALNUT CREEK WILLOWSLicense 0756014311 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff installed bed rails on resident's bed without proper authorization Substantiated. On 05/01/24 LPA spoke to RP who stated that R1 stated to them that they felt like they were in "a cage." RP further explained that R1 stated that the bed rails on the bed made them feel like they were in a cage. RP stated that S1 said that R1 was a fall risk and that the bed rail was for safety. RP stated that R1 did not have a doctor's order for a bed rail, but the staff removed the bed rail while RP was at the facility on 04/22/24. LPA interviewed R1 and R1 stated that the bed rail was on the bed initially but the Staff removed the bed rail. LPA reviewed R1's Physician Report and the report did not have any information that reflected the use of a bed rail for mobility support. LPA observed that the bed rail was removed on R1's bed. LPA advised S1 that bed rail for postural and mobility support requires a doctor's order. Based on information that S1 admitted that there was a bed rail on R1's bed the allegation is substantiated.

Citations

1 citation 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.

  • 87608(a)(3)Type B

    Maintain physician order documentation in resident record

    (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. Based on interview, the licensee did not comply with the section cited above in by not having a written order from a physician for a bed rail for R1 which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 1, 2024 inspection of WALNUT CREEK WILLOWS?

This was a complaint inspection of WALNUT CREEK WILLOWS on May 1, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to WALNUT CREEK WILLOWS on May 1, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provi..."

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.