Ponte Palmero

Timely medical 87465(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met based on facility staff failed to seek medical attention for R1, R2, R3, R4 when residents sustained falls that resulted in serious bodily injury. This posed an immediate Health and Safety risk to residents in care.

Observation of the ResidentThe 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 was not met based on facility failed reassess R1 and R3 after residents sustained multiple falls, some resulting in injury. R1 sustained 7 falls within an 8-month period and R3 sustained 16 falls between 10/24/2020 and 06/27/2024. This posed an immediate Health and Safety risk to residents 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:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by:Based on facility incident reporting, records review and facility visit on 07/11/22, R1 s personal rights have been violated resulting S1 s termination from the facility.

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.

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.