Westmont of Pinole

87303 Maintenance and Operation (i) Facilities shall have signal systems which ...criteria: (1) All facilities licensed for 16 or more and all... separate floors or ... have a signal system which shall...(A) Operate...(B) Transmit...(C) Identify...unit -This requirement is not met as evidenced by: Based on interviews, the Executive Director did not comply with the regulation cited above by not ensuring that the call pendants were working properly at all times and not providing care to residents’ in a timely manner which poses a potential health and safety risk to persons in care.

(c) If the resident's physician...PRN medication...met: (2) Once ordered...medication is given according to... directions Based on observation and record review, the licensee did not comply with the section cited above R1 being administered incorrect doseage of Hydrocodone - Acetaminophen, wich poses and immedicate health and safety risk to resident in care.

87465 Incidental Medical and Dental Care(a) .....(4) The licensee shall assist residents with self administered medications as needed.-This requirement is not met as evidenced by: -Based in records review and interviews, the licensee did not comply with the section above in mismanaging resident's medications and administering incorrectly which posed an immediate health and personal rights risks to person in care.

(a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153.(2) A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in by not ensuring a safeguard to R1's personal supplies and property which poses a potential health, safety or personal rights risk to persons in care.

***This is an amended report from visit on 2/24/2023***A provision indicating that an itemized monthly statement that lists all separate charges incurred by the resident that are collected by the facility shall be provided to the resident or the resident’s representative, if any. This requirement was not met as evidenced by: Based on LPA observations, record review and interviews conducted licensee failed to provide written notice to resident/ responsible party establishing a rate increase which poses a potential health and safety risk to residents in care.

***This is an amended report from visit on 2/24/2023***00(g) Admission agreements... following:(3) Payment provisions,... following:(B) Rate for additional items...4. If the licensee offers additional ... agreement was signed, a list of these ...representative. 5.A statement acknowledging ... services that were not available at the time the admission ... resident’s representative, if any... admission agreement. This requirement was not met as evidenced by: Based on LPA observations, record review and interviews conducted licensee failed to provide written notice to resident/ responsible party establishing a rate increase which poses a potential health and safety risk to residents in care.

***This is an amended report from visit on 2/24/2023***Increase in fee rates for elderly residents; 60 days’ written notice stating amount of and reasons for increase; application of section(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or... rate structures for services...the residents' representatives setting forth... the reason for the increase... This requirement was not met as evidenced by;Based on LPA observations and interview conducted licensee failed to provide written notice to resident/ responsible party establishing level of care change and/or rate increase which poses a potential health and safety risk to residents in care.

87705 Care of Persons with Dementia(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: Based on LPAs observation licensee did not comply with the section cited above by facility not having an adequate number of staff for residents which poses a potential health and safety risk.

87211 (a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including,... (1)A written report shall be submitted... and to... within seven ... of any of the... This report shall include the... of admission; date and nature of event;...; and disposition of the case. This requirement was not met as evidence by: Based on LPA's observation licensee did not comply with the section cited above by not reporting COVID positive staff/residents to CCLD, which poses a potential health and safety risk to clients in care.

Personal Rights of Residents in All Facilities. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not following infection control guidelines which poses a potential health and safety risk to the persons in care.