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Inspection visit

complaint

COMMONS AT DALLAS RANCH, THELicense 0792005752 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff did not seek timely medical attention for a resident Investigation Finding: SUBSTANTIATED Based on interviews and record reviews which were conducted, Executive Director (ED) confirmed with LPA that resident’s (R1) medication was ordered discontinued on 09/01/22. R1 was admitted to hospice care at the facility on 08/09/22. Staff notified R1’s hospice nurse about the medication error on 09/09/22 and an updated med list was requested. Hospice nurse visited R1 the same day and found R1’s vital signs good. However, R1 was administered a double dosage of the medication until 9/15/22 when the medication error was discovered by staff. R1’s family was notified by staff of the medication error on 09/17/22. Based on interviews and record reviews conducted, the allegation that staff did not seek timely medical attention for R1 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.

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.

  • 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 short staffing which posed a potential health & safety risk to residents in care

  • 87465(c)(1)Type A

    There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication when the physician should be contacted for a medication reevaluation... This requirement was not met as evidenced by staff failing to timely seek medical attention to resident which posed an immediate health & safety risk to resident in care.

  • 87465(e)Type A

    For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication… This requirement was not met as evidenced by staff mishandling resident's medication which posed an immediate health & safety risk to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 29, 2022 inspection of COMMONS AT DALLAS RANCH, THE?

This was a complaint inspection of COMMONS AT DALLAS RANCH, THE on December 29, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to COMMONS AT DALLAS RANCH, THE on December 29, 2022?

Yes, 2 citations were issued (2 Type A, 0 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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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.