Deer Ridge Country Villa

Based on observation, the licensee did not comply with the section cited above in having cleaners and disinfectants inaccessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in having a hospice care plan on file for three residents which poses/posed a potential health, safety or personal rights risk to persons in care.

c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having R1's prescribed medications administered as directed by physician which poses an immediate health and safety risk to persons in care.

87468.1 (a) (3) (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(3)To be free from punishment, humiliation...This requirement is not met as evidenced by: Based on interviews, the Licensee did not comply with the section cited above by having R1 in a soiled breifs for a long period of time which posed a potential health and safety risk and personal rights risk to persons in care

87625(b)(3) Managed Incontinence(b) In addition to Section 87611, General Requirements for Allowable Health Conditions... (3)Ensuring that incontinent residents...This requiremnet is not met by evidenced by: Based on interviews, the Licensee did not comply with the section cited above by having R1 in a soiled bed for a long period of time which posed a potential health and safety risk and personal rights risk to persons in care

§1569.269 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, financial exploitation.....This requiremnet is not met by evidenced by: Based on investigation, licensee did not comply with the section cited above resulting in R1 sustaining a scapula fracture to the left shoulder which poses an immediate health and safety risk to the persons in care.

87468.2 (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all the following personal rights: This requirement was not met as evidence by: Based on observation, the licensee did not comply with the section cited above by having a camera with audio and recording capabilities in R1's room which poses a potential personal rights risk to persons in care.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement is not met as evidenced by:

Based on observation, the licensee did not comply with the section cited above in not having the follwing documents in residents records appraisal needs and service plans(ANS),Physician Reports (MA), Consent Forms(CF),Emergency Identification(ID)and Personal Rights.which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in licensee failed to regulate hot water at the two bathroom sink, LPA observed 138F temperature, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in staff failed to lock disinfectant and sharp objects such as knives and scissors, which were accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation , the licensee did not comply with the section cited above in licensee failed to regulate tap water at maximum 125F, LPA observed tap water ranging 135-138F which poses/posed a potential health, safety or personal rights risk to persons in care.