Paintbrush Assisted Living and Memory Care

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed…. (4) The licensee shall assist residents with self administered medications as needed.This requirement was not met as evidenced by: Licensee did not ensure resident was assisted with self administered medications as needed. On 9/3/25, R1 was given another residents medication resulting in a medication error.This poses an immediate health and safety risk tp persons in care

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed…. (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Licensee did not ensure residents were assisted with self-administration of medications as needed. Staff MT gave R1 and R2 the wrong medications on 7/21/25.This poses an immediate health and safety risk to persons in care.

87211 Reporting Requirements (a) Each licensee... (1) A written report shall be submitted to the licensing agency and to the person responsible...( D) Any incident which threatens the welfare, safety or health of any resident…This requirement was not met as evidenced by: Licensee did not ensure a written report was submitted to CCLD for the medication errors which occured 7/21/25. Additionally, the facility did not report the incident to R1 and R2's Responsible Persons or Physicians.This poses a potential health and safety risk to persons in care.

87464 (f) Basic services shall at a minimum include: (5) Regular observation of the resident's physical and mental condition, as specified in Section 87466, Observation of the Resident.This requirement was not met as evidenced by: Licensee did not ensure Resident (R1)'s basic services of regular observation of physical and mental change of condition were met. R1 experienced multiple falls. The facility did not update Service plan or put interventions in place to prevent falls or injury. 12/12/24, R1 fell and sustained a fracture. This poses an immediate health and safety risk to persons in care.

Licensee responsibility for records confidentiality

87506 Resident Records (c) All information and records... (1) The licensee shall… The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement was not met as evidenced by: Licensee did not ensure that confidential information was provided to R1's designated representative when requested. R1's MAR documentation was not provided to R1's DPOA/designated representative upon written request.This poses a potential health & safety risk to persons in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility.... (4) The licensee shall assist residents with self-administered medications as needed.This requirement ws not met as evidenced by: Licensee did not ensure R1 received assistance with self-administered medications Facility ran out of medications on multiple occasions. A MT gave R1 medications out of the discontinue med storage to avoid having to speak to RP, Xanex was not given due to "miscommunication" 7/10-7/17/24. This poses an immediate health & safety risk to residents in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed accessible cleaning and disinfecting supplies in resident rooms: 103, 204, 229, 244, 238.

First aid training requirements

Based on interview and record review, the licensee did not comply with the section cited above inwhich poses/posed a potential health, safety or personal rights risk to persons in care. Staff files reviewed reveal that multiple staff have been trained through Relias on First Aid but have not received appropriate certification as specified.

Arrange appropriate medical and dental care

Based on observation and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. LPA observed medications which were accessible in resident rooms: 104, 110, 229, 216 and 238. Additional unknown medications which had been prefilled in medication boxes by dose were observed in 103 and 204. R1 (229) Physician Report states R1 cannot store own medications.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (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 requirement was not met as evidenced by: Licensee did not ensure the facility was clean, safe and sanitary. LPA observed mold in the ice machine.

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement was not met as evidenced by: Licensee did not ensure R1 and R3 Physician's Report were updated as required.This poses an potential health and safety risk to residents in care.

Central store medicines that create safety hazards

87465 Incidental Medical and Dental Care (h)The following requirements shall apply.....: (1) Medications shall be centrally stored under the following circumstances: (C) ...Because of potential dangers related to the medication itself, ...the medications are determined by either a physician, the administrator, or Department to be a safety hazard to others. This requirement was not met as evidenced by: Licensee did not ensure medications were properly stored and/or inaccessible to residents in care. Per R4's physician report, all medications including PRN should be inaccessible. LPA's observed multiple medications in the residence. This poses an immediate health and safety risk to residents in care.

Personal rights of residents in all facilities

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities... shall have all of the following personal rights: (11) To have their visitors,... permitted to visit privately during reasonable hours and without prior notice...This requirement was not met as evidenced by: Licensee did not ensure that R1’s visitors were permitted to visit privately. R1’s visitation was restricted by the facility. R1 was allowed visitation with family in common areas, not during mealtimes.This poses a potential health, safety or personal rights risk to residents in care.

87411 Personnel Requirements – General (d) All personnel shall be given on the job training or have related experience in the job assigned to them... as evidenced by safe and effective job performance: (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement was not met as evidenced by: Licensee did not ensure that a facility trained Med Tech assisted a resident with medication safely and effectively as prescribed by the Physician. S1 gave R1 a routine medication as a PRN on 1/14/23 and 1/15/23.This poses an immediate health, safety or personal rights risk to residents in care

Regular observation and documentation of resident changes

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning….When changes such as… 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. This requirement was not met as evidenced by:Licensee did not ensure that R1’s Responsible Party RP) was notified after medication was not given according to Physician orders on 1/15 and 1/16/23. There is no documentation that this notification was provided to RP.This poses a potential health, safety or personal rights risk to residents in care.

Regular observation and documentation of resident changes

87466 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 as evidenced by: The Licensee did not ensure that changes in resident condition (ie; fall or hospitalization) were documented and brought to the attention of the resident's physician and the resident's responsible person as noted on Employee Counseling Form dated 6/15/21 for S1.This poses a potential risk to persons in care.

Limit staff assistance with self-administered drugs

87465 Incidental Medical and Dental Care (a) 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: (5) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Licensee did not ensure that medications were taken as prescribed by the Physician. R1’s MAR confirms multiple instances where staff did not verify that medications were given according to the facility procedure. Staff interviews confirm that “if its not initialed, the medication was not given. MARs reviewed include April, May, June 2021.This results in an immediate health & safety risk for persons in care.

87307 Personal Accommodations and Services (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident......if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (C)Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times...This requirement was not met as evidenced by: This requirement was not met as evidenced by: Licensee did not ensure that the facility provided accomidations & Service to ensure R1's soiled laundry ws removed from the apartment. Photos were provided of soiled clothing and bedding.This poses a potential health & safety risk to persons in care.

Comply with all admission agreement terms

87507 Admission Agreements(f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement was not met as evidenced by: Licensee did not ensure that all applicable terms and conditions set forth in the admission agreement were met. R1 did not receive a 30 day re evaluation/assessment as stated in the Admissions Agreement dates 4/9/21.This poses a potential health and safety risk to persons in care.

87208(c) Plan of Operation A licensee who accepts or retains residents diagnosed by a physician to have dementia shall include additional information in the plan of operation as specified in Section 87705(b).This requirement was not met as evidenced by: On 4/22/21 R1 and R2 left the facility unsupervised from the facility through the gate outside the Memory Care unit.This poses an immediated health and safety risk to persons in care

Facility personnel sufficiency and competence

87411(a) 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… 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 was not met as evidenced by: Licensee did not ensure resident call buttons were responded to timely. R1's call button or "pendent" was not cleared for 38 minutes 38 minutes resulting in R1 requiring emergency medical care.This poses an immediate Health and Safety Risk to persons in care.

87307 Personal Accommodations and Services (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident......if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (C)Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times...This requirement was not met as evidenced by: Licensee did not ensure adequate laundry service to ensure R1 did not sleep on soiled bed linens or that soiled clothing was removed from the apartment. Licensee did not ensure R1 had a clean mattress.This poses a potential risk to persons in care.

Keep bath, laundry and kitchen floors clean

87303 Maintenance and Operation (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. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.This requirement was not met as evidenced by: Licensee did not ensure R1's room was clean and sanitary. R1's room smelled of urine related to use of soiled linens and mattress.This poses a potential health and safety risk to persons in care.