Oakmont of El Dorado Hills

Additional Personal Rights of Residents in Privately Operated Facilities(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 of the following personal rights:(4) 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 based on facility failed to ensure staff were trained on a personalized fall protocols for R1. This posed an immediate Health and Safety risk to residents in care.

Reappraisals(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff... This requirement was not met based on the facility failed to ensure reassessments were conducted due to R1’s change in conditions. Additionally, the facility failed to develop a personalized intervention plan as indicated in R1's needs and service plan. This posed an immediate Health and Safety risk to residents in care.

Incidental Medical and Dental 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 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

Resident RecordsThe licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the the resident's written consent or that of his designated representative.This was not done in a timely manner.

87465-Incidental Medical and Dental- 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: The licensee shall provide assistance in meeting necessary medical and dental needs. This requirement is not met as evidenced by: Based on witness interviews, licensee did not follow MD orders resulting in a delay of treatment for 2 weeks. This is in violation of this section. This poses an immediate health and safety risk to residents in care.

87218-Theft and Loss-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 is not met as evidenced by: Based on numerous documented thefts from resident rooms, licensee did not take the necessary steps to alleviate these continued thefts. This is in violation of this section. This poses a potential health and safety risk to residents in care.

87303(a)- Maintenance and Operation -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 requirement is not met as evidenced by:. Based on photographic evidence and witness statement, licensee did not maintain R1s room in a clean and sanitary manner and is in violation of this section. This poses a potential health and safety risk to residents in care.

87217(b) -Safeguards for Resident Cash, Personal Property, and Valuables- Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. This requirement is not met as evidenced by: Based on written documentation and interviews, licensee did not safeguard R1s wheelchair as it has gone missing and it's current location is unknown. This is in violation of this section. This poses a potential health and safety risk to residents in care.

87466-Observation of the Resident- The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement is not met as evidenced by: Based on photographic evidence, witness interviews and medical documentation, licensee did not observe that R1s teeth and toenails had been neglected over a period of time and needed attention. This is in violation of this section. This poses a potential health and safety risk to residents in care.

87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources.This requirement is not met as evidenced by: Based on record review, the Licensee did not ensure that resident's (R1) hydration needs were met as resident was sent to the hospital on multiple occasions from 12/24/2019 through 11/15/2020 and was diagnosed with dehydration and received IV fluids, which posed an immediate health and safety risk to resident in care.

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: (11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that resident's (R1's) visitors were allowed to visit with resident without prior approval from resident's POA, who did not have legal authorization to restrict visitation, which posed a potential personal rights violation to resident in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical ... shall be developed by each facility...(5)The licensee shall assist residents with self-administered medications as needed This requirement was not met as evidenced by staff interviews. This is an immediate threat to the health and safety to clients in care.