Oakmont of Concord

Assist PRN administration when symptoms unclear

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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: Based on record review of R1's charting notes and correspondenses with their physician LPA identified at least 9 times R1 was administered their PRN but was unable to identify any instances where the physician was contacted prior and all of the requirements were met for administering a PRN to a resident who can not determine their need or communicate their symptoms which posed a potential health and personal rights risk to residents in care

Facility personnel sufficiency and competence

(a) Facility personnel shall at all times be sufficient in numbers... The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirment was not met as evidence by: Based on record review and interviews the facility does not have suffient staffing for AL. Residents reported having long wait times and being told that they were short staffed by other staff members which poses a potential personal rights risk to residents in care

Maintain facility in clean, safe, sanitary condition

(a) 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.This requirment was not met as evidence by: Based on observation and interviews on 8/27/2025 the facility had a number of call buttons in disrepair which posed a potential safety and personal rights risk to residents in care

(a) Each licensee shall furnish...but not limited to, the following:(1)A written report shall be submitted... within seven days of the occurrence of any of the events specified in (A) through (D) below...(D) Any incident which threatens the welfare, ...of any resident.This requirement was not met as evidence by: Based on record review of R1's charting notes and available UIR's the facility did not report all incidents as required. LPA identified over 35 reportable incidents and observed that the facility only had record of reporting 6 incidents which posed a potential safety and personal rights risk to residents in care.

87303 Maintenance and Operation (i) Facilities shall have signal systems which ...criteria: (1) All facilities licensed for 16 or more and all residential facilities having 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.

(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the ...(2) Ensuring that incontinent residents are checked ...are known to be incontinent, including during the night.(3) Ensuring that incontinent residents are kept clean and dry and ... Based on interviews, the ED did not comply with the regulation cited above by not providing care to residents in a timely manner which poses a potential health and safety risk to persons in care.

A description of the services to be provided in the facility by the hospice agency including but not limited to the type and frequency of services to be provided. This requirement was not met as evidenced by staff failing to provide timely medication administration for comfort care which posed a potential health & safety risk to the hospice resident in care.

The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement was not met as evidenced by staff failing to ensure that hospice resident had required oxygen administration as prescribed by the hospice care team which posed a potential health & safety risk to resident in care.

The licensee shall maintain a record of dosages of medications that are centrally stored for each resident receiving hospice services in the facility… This requirement was not met as evidenced by staff failing to safely store a controlled substance which posed a potential health & safety risk to resident in care.

Care and supervision as defined by statute and rules

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). -This requirement is not met as evidenced by: Based on interviews, the Licensee did not comply with the regulation cited above by not providing care to residents’ in a timely manner which posed/poses a potential health and safety risk to persons in care.

87303 Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall 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 Licensee did not comply with the regulation cited above by not ensuring that the call pendant was working properly at all times or alerting all Staff and Residences of the processes during the malfunction, and not providing care to residents’ in a timely manner which posed/poses a potential health and safety risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.-This requirement is not met as evidenced by: Based on interviews, the Licensee did not comply with the regulation cited above by not ensuring that the call pendant was working properly at all times or alerting all Staff and Residences of the processes during the malfunction, and not providing care to residents’ in a timely manner which posed/poses a potential health and safety risk to persons in care.

87618(b)(3)(E) OXYGEN ADMINISTRATION - GAS AND LIQUID(b) In addition to Section 87611(b)..(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the regulation above. LPAs observed oxygen tanks in R3's apartment were not secured to a stand or a wall which poses a potential health and safety risk to persons in care.

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. The licensee shall be presumed to have made reasonable efforts to safeguard resident property if there is clear and convincing evidence of efforts to meet each requirement specified in Section 1569.153. This requirement was not met as evidenced by loss of resident’s personal belongings which poses a potential health and safety risk to residents in care.

Report serious outbreaks and major accidents

Reporting Requirements (2) Occurrences, such as epidemic outbreaks... shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriateThis requirement is not met by evidenced by Based on record review and observation licensee did not comply with the regulation cited above. Facility did not contact licensing within 24 hours of outbreak which poses an potential health and safety risk for persons in care.

Report specified resident events within seven days

Reporting Requirements(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 ...This requirement is not met by evidenced by: Based on interview & records review, licensee did not comply with the regulation cited above which poses an potential health and safety risk for persons in care.