Trevista Antioch

Right to sufficient care and qualified staff

Residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs… This requirement was not met as evidenced by staff failing to provide adequate care & supervision which posed an immediate health & safety risk to residents in care.

Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (10) To be free from neglect . . .This requirement was not met as evidenced by staff failing to provide adequate care & supervision which posed a potential health & safety risk to residents in care. This requirement was not met as evidenced by resident (R1) developing multiple pressure injuries which posed an immediate health and safety risk to resident in care.

Arrange appropriate medical and dental care

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by resident’s hygiene needs not being met which posed a potential health & safety risk to resident in care.

Keep bath, laundry and kitchen floors clean

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement was not met as evidenced by resident’s unsanitary room which posed a potential health & safety risk to resident in care.

(b) All residents in all residential care facilities for the elderly shall be protected from all of the actions specified in this subsection (1) Deny admission to a facility, transfer or refuse to transfer a resident within the facility or to another facility, or discharge or evict a resident from a facility... This requirement was not met as evidenced by improper eviction of resident (R1) which posed a potential health & safety risk to resident in care

Safe, healthful, comfortable accommodations

To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by R1 being attacked by another resident which posed a potential health & safety risk to resident in care

Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications This requirement was not met as evidenced by staff not responding to resident's calling for assistance which posed a potential health & safety risk to residents in care

If the resident is an SSI/SSP recipient, then the basic services shall be provided and/or made available at the basic rate at no additional charge to the resident. This requirement was not met as evidenced by resident being charged the market rate which posed a potential health & safety risk to resident in care

Care of Persons with Dementia. (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.This requirement is not met as evidenced by licensee’s failure for alert features that monitor Memory Care stairwell exits. It was noted that staff found R1 repeatedly wandering the third floor. Based on LPA’s observation, the Memory Care Unit stairwell leading upstairs to the third floor Assisted Living area did not have a staff alert feature which poses a potential health, safety, or personal rights risk to a person in care.

Care of Persons with Dementia. (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement is not met as evidenced by licensee’s failure to ensure adequate supervision was maintained to meet R1’s needs. Facility failed to address the need resulting in R1’s elopement which poses an immediate health, safety, or personal rights risk to a person in care.

Eviction Procedures. (c) The licensee shall, in addition to either serving the required thirty (30) days notice , sixty (60) days notice or seeking approval from the Department and service three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person.This requirement is not met as evidenced by: Licensee’s failure to issue a required eviction notice and notice to quit to R1’s responsible party (RP). On 8/20/19, R1’s RP was asked to take R1 back home with RP late in the evening without any prior notice or preparation, which poses an immediate health, safety, or personal rights risk to a person in care.