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Inspection visit

complaint

COMMONS AT DALLAS RANCH, THELicense 0792005754 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Insuffiicient staff to meet residents’ needs Investigation Finding: SUBSTANTIATED Based on interviews and record reviews, facility failed to meet the needs of the residents due to being short staffed. Residents, authorized representatives and staff expressed concerns regarding residents not being changed in a timely manner, not getting food or late, getting residents up late, not receiving their scheduled showers and not getting medications on time. These issues were acknowledged by former ED to LPA during visit on 11/10/2020. The preponderance of evidence has been met. Therefore, this allegation is substantiated. Allegation: Licensee did not assist residents with incontinent care Investigation Finding: SUBSTANTIATED Based on interviews and record reviews which were conducted, authorized representative (W1) stated that she found resident (R1) soaking wet in bed because she has not been changed. S1 stated that many residents go all day without getting changed or are not wiped well resulting in residents and their rooms smelling. Residents, authorized representatives and staff have complained to former ED and supervisor about these issues with no resolutions. Former ED acknowledged these issues with LPA during visit on 11/10/2020. The preponderance of evidence has been met. Therefore, this allegation is substantiated. Allegation: Residents’ medications are not administered as prescribed by physician Investigation Finding: SUBSTANTIATED Based on interviews and record reviews, authorized representative (W2) stated she was with resident (R2) on the weekend of Thanksgiving 2020. She noticed that the pill packs for one of his medications were missing which should have been documented on his medication list. W2 discussed the issue with former ED and nurse supervisor. They confirmed R2 has not been receiving his daily stool softener medication. Per W2, it was only after a week that the ‘paperwork” was found documenting that he was prescribed the stool softener medication daily and after that he received it regularly. Former ED acknowledged this incident during visit on 11/10/2020. The preponderance of evidence has been met. Therefore, this allegation is substantiated. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties . Exit interview conducted. Appeal Rights and a copy of this report provided via email.

Citations

5 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.

  • 87411(a)Type B

    Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs This requirement was not met as evidenced by insufficient staff which posed a potential health & safety risk to residents in care

  • 1569.2(c)Type B

    (c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not met as evidenced by staff failing to provide basic services which posed a potential health & safety risk to residents in care

  • 87413(a)(1)Type B

    When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks This requirement was not met as evidenced by insufficient staff which posed a potential health & safety risk to residents in care.

  • 87465(b)Type B

    If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication This requirement was not met as evidenced by staff failing to administer residents' medications as prescribed which posed a potential health & safety risk to residents in care.

  • 87625(b)(3)Type B

    Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by staff failing to assist residents with incontinence care which posed a potential health & safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 19, 2022 inspection of COMMONS AT DALLAS RANCH, THE?

This was a complaint inspection of COMMONS AT DALLAS RANCH, THE on August 19, 2022. 4 citations were issued: 4 Type B.

Were any citations issued to COMMONS AT DALLAS RANCH, THE on August 19, 2022?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet ..."

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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