Fresno Senior Living

Facility personnel sufficiency and competence

87411 Personnel Requirements - General,(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This was not observed as evidenced by: Based on staff interview and records review the facility failed to respond to residents call in timely manner resulted resident laying on the floor bleeding. This is poses a potential health and safety risk to persons in care.

87413 Personnel - Operations. (2) Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. This was not observed as evidenced by: The facility failsed to provide supervision resulted unsupervised dementia resident found outside laying on the ground with pillow, blanket, and remote control. This is poses potential health and safety risk to persons in care.

Maintain separate complete record for each resident

87506 Resident Records. (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This was no observed as evidenced by: The facility failed to provide documents requested for R1 in timely manner and by due date on 3/202/24, which posses a potential health and safety risk to residents in care.

Food handling safeguards during storage and service

87555 General Food Service Requirements (b) (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This was not observed as evidenced by: The facility failed to follow regulation cited above. The prepared perishable food when stored in the refrigerator was not dated, that poses potential health and safety risk to residents 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.This was not observed as evidenced by: Based on observations and interviews staff did not have scheduled floors maintenance, floors with spots on carpet floors of dirt all over the facility, which poses potential health and safety risk to residents in care.

Give PRN medication by physician order

87465 Incidental Medical and Dental Care.(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by. Based interviews and incident report provided to Regional Office, R1 received a double dose of medication: 1.0mg instead of 0.5mg of Clonazepam prescribed.This is poses immediate health and safety risk of residents in care.

87224 Eviction Procedures.(b) The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. The licensing agency may grant approval for the eviction upon a finding of good cause. This was not observed as evidenced by: Regional Office was not notified of eviction notice by facility and resident to be evicted from facility when title 22 was not followed which poses health and safety risk of residents in care.