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Inspection visit

complaint

PONTE PALMEROLicense 0970041772 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Allegation: Staff did not ensure changes in resident's condition were reported to a physician in a timely manner. On 1/26/21, R1 was admitted to Mercy Folsom for severe dehydration and a urinary tract infection. At the time of hospitalization, Patricia was positive for Covid-19 and was quarantined to her room and was being monitored by a single staff member. R1 had not eaten and drank little to no fluid/water for approximately 2 - 3 days prior to being hospitalized. Review of documents indicate that R1 did not have fluids or food for approximately 3 days from 1/23/21 through 1/25/21. Facility did not report R1's condition to medical personnel in a timely manner. Witness was asked if R1's medical attention should have been sought sooner, witness replied, "yeah, maybe a day before." As a result of this investigation, LPA finds the allegations that resident sustained severe dehydration and a UTI due to lack of care and supervision, staff did not ensure changes in resident's condition were reported to a physician in a timely manner to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87411(a)Type A

    87411-Personnel Requirements-General- Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required... 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 requirement is not met as evidenced by: Based on medical records and witness statements, licensee did not have adequate staffing available to provide care and supervision to residents. This is in violation of this section. This poses an immediate health and safety risk to residents in care.

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  • 87466Type A

    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. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on witness interviews and medical records, licensee did not observe that a resident became dehydrated and required hospitalization Facility is in violation of this section. This poses an immediate health and safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the November 18, 2021 inspection of PONTE PALMERO?

This was a complaint inspection of PONTE PALMERO on November 18, 2021. 2 citations were issued: 2 Type A (serious).

Were any citations issued to PONTE PALMERO on November 18, 2021?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87411-Personnel Requirements-General- Facility personnel shall at all times be sufficient in numbers, and competent to p..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.