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Inspection visit

Complaint

KINGSTON BAY SENIOR LIVINGLicense 1072069391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

It has been confirmed that the facility notified the Responsible Party (RP) via phone to report the fall and that R1 was being taken to the hospital via ambulance. Interviews reveal that the facility discovered the medication error after R1 had been transported. The facility called and reported the newly reported medication error to RP who was already at the hospital. The facility reported to RP via phone but did not provide a written report of the incidents. Based on interview and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D in the area of Reporting Requirements. An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were discussed and emailed to AD at Blangdon@agemark.com

Citations

3 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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish... (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident... of the occurrence of any of (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 that a written report was provided to the Responsible Person of R1 after a medication error and fall resulting in hospitalization.This poses a potential health & safety risk to persons in care.

  • 87463(a)(3)Type B

    87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes ... The reappraisals shall document changes in the resident's physical, medical,(3) Any illness, injury, trauma, or change in the health care needs… This requirement was not met as evidenced by: R1 was accepted back to the facility with significant changes of condition. The facility did not conduct an assessment prior to discharge from the hospital. This poses a potential health & safety risk to persons in care.

  • 87507(f)Type B

    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 compliance with all applicable terms of the Admission Agreement. R1 was not billed accurately according to the agreement after vacating the facility on 8/13/24.This is a potential health & safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 10, 2024 inspection of KINGSTON BAY SENIOR LIVING?

This was a complaint inspection of KINGSTON BAY SENIOR LIVING on December 10, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to KINGSTON BAY SENIOR LIVING on December 10, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements (a) Each licensee shall furnish... (1) A written report shall be submitted to the licensing..."

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.