Sequoia Grove Assisted Living, Inc

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility…(5)...Assistance with self-administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that R1 did not have a prescription on file to place medications inside their food. Interviews disclosed R1 was forced to take medications without their consent. This poses a potential health safety and or personal rights risk to residents in care.

Protection from punishment and intimidation

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: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidence by: interviews conducted. The licensee did not comply with the section cited above in that staff failed to maintain respectful interactions with R1 and forcing them to consume food with medication inside without R1’s approval. This poses a potential health safety and or personal rights risk to residents in care.

87633 Hospice Care of Terminally Ill Residents (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill…when all of the following conditions are met: (3) Hospice agency services are contracted for by each terminally ill resident…not by the licensee on behalf of a resident or prospective resident. These hospice agency services must be provided by a hospice agency both licensed by the state and certified by the federal Medicare program. This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that 2 of 2 residents receiving hospice care were changed from their original agency selection to the licensee’s "preferred agency". This poses a potential health safety and or personal rights risk to residents in care.

1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds. This requirement was not met as evidenced by LPA. Facility failed to provide refund upon resident's death with in 15 days. Responsible party was charged additional $1,324.82 for whole month of January stay when resident passed away in December. This is poses a potential health and safety or personal rights risk to residents in care.