Sherwood Elderly Care Facility

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Staff did not have training in postural supports, hospice care and restricted health care plans, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee had a broken door knob in resident room, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by: Licensee did not ensure fire clearance was maintained by using a wooden stick to prevent sliding glass door from opening and using a chair to block the front door preventing residents from exiting which poses an immediate health safety and or personal rights risks to residents in care.

Dignity in personal relationships

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:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Licensee did not ensure staff accorded residents with dignity in their personal relationships by not allowing residents to go outside of the facility which poses an immediate 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 by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidenced by: Licensee did not have a care plan for R1 which poses a potential health safety and or personal rights risk to residents in care.

Assist residents with self-administered medication

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not administer or have any notes as to why R2's PM medications were not administered on 12/13/24 which poses an immediate health, safety or personal rights risk to persons in care.