Westmont of Fresno

87218 Theft and Loss. (a) (2) 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 regulation was not observed as evidenced by: The facility failed to provide a replacement or monetary refund to resident when lost hearing aid for R1 while resided at the facility in June 2024, which poses health and safety risk to persons in care

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: Based on staff interviews the facility failed to fo ensure resident room was cleaned and desinfected till 5/31/24 after resident left the facility on 5/13/24, was admited to the hospital and have not returned to the community. This poses potential health, safety and personal rights risc to person in care.

Report specified resident events within seven days

87211 Reporting Requirements (a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of occurence. This requirement was not met as evicencd by: The acility failed to provide a report to Licensing Agency following the title 22 gegulation in timely manner. This poses potentia risk to health and safety to residents in care.

Give PRN medication by physician order

87465 (c)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Facility failed to administer mediations as prescribed and acording to physician directions. This poses an immediate risk to health and safety to residents in care.

1569.2 (c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered...This was not observed as evidenced by: Based on interviews and record reviews R1's mental health, physical health , and safety was jeopardize when she end up unsupervised outside the facility in the middle of the night time. This poses an immediate health and safety risk to the residents in care.

Night supervision when dementia residents require it

87705 Care of Persons with Dementia.(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials.This was not observed as evidenced by: Based on interviews and record reviews R1 was able unsupervised leave facility building unsupervised in the middle of the night.Facility did not provide safety measures to address wondering behavior which cause R1 being unsupervised for unknown amount of hours and outside of the facility in the middle of the night.

Report specified resident events within seven days

87211(a)(1) Reporting RequirementsA written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by LPAs record review. Licensee did not report incident of R1 which poses potential health and safety and/or personal rights risk to residents in care.

Give PRN medication by physician order

87465(c)(2) Incidental Medical and Dental Care: ....Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on interviews and record reviews facility staff failed to give medication as prescribed and resident missed medications, which poses an immediate Health and Safety risc to the resident in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a)(4): The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review, the facility did not ensure the requirements for section 87465(a)(4) were met when facility staff administered a medication to R1 that had been discontinued, which poses an immediate health and safety risk to residents in care.

Report specified resident events within seven days

87211(a)(1): Each licensee shall furnish...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence, this requirement was not met as evidenced by: Based on record review, the licensee did not ensure the requirements for this section were met when LPA observed that R1 had multiple falls in the facility which were not reported to the Fresno CCL Office.

Assist residents with self-administered medication

87465(a)(4): (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:(4) The licensee shall assist residents with self-administered medications as needed, this requirement was not met as evidenced by Based on record review, the license did not ensure the requirements for this section were met when staff administered two of the same medication to R1, which poses an immediate health and safety risk to residents/clients in care.

Right to sufficient care and qualified staff

87468.2(a)(4): (a) In addition to the rights listed in Section 87468.1...residents...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 as evidenced by: Based on interviews and record review, the licensee did not ensure R1's needs were met when R1 was able to leave the facility undetected resulting in a fall outside of the facility which is an immediate health and safety risk to residents/clients in care

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA observed a small container of knives on a cabinet in room 134 accessible to 2 residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above when LPA observed medications in room 134 to be accessible to 2 residents in the apartment which poses an immediate health, safety or personal rights risk to persons in care.

Prohibit false or misleading facility statements

87207 False Claims: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was not met as evidenced by: Based on interviews and record review, S1 made false/misleading statements when S1 initialed that medications were administered to residents when S1 did not administer medications. This poses an immediate health and safety risk to residents 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 requirementw as not met as evidenced by: Based on record review and interviews, the Licesnee did not ensure all residents were assisted with self-administered medications as needed. This poses an immediate health and safety risk to residents in care.

Resident care and supervision skills

(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following… (3) Skill and knowledge required to provide necessary resident care and supervision… This requirement was not met as evidenced by: Based on observation and interviews, the licensee did not ensure the above requirement was met as evidenced by facility staff not responding to residents timely. This poses a potential health and safety risk to residents in care.

Report specified resident events within seven days

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence… This requirement was not met as evidenced by: Based on record review, the licensee did not furnish a written incident reports within seven days of occurrence as evidenced by the 6 incident reports that were submitted after the 7-day time frame.

Personal assistance and care for required daily activities

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications… This requirement was not met as evidenced by: Based on interviews conducted and record review, the facility did not ensure residents were assisted with activities of daily living such as bathing as evidenced by facility shower logs and consistent staff statements. This poses a potential health and safety risk to residents in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities (a)(2): Residents... shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on observation, the facility did not ensure staff are wearing facial coverings as mandated when it was observed that 3 out of 4 dining staff were not wearing facial coverings during the lunch period. This poses a potential health and safety risk to residents in care.