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Inspection visit

Follow-up on corrections

PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENSLicense 1572092972 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/30/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct a required 10 day inspection. During the course of the investigation, LPA reviewed records and observed residents in care. LPA toured a sample of resident rooms and observed Resident R1, in bed with full bed rails. LPA observed R1 to bedridden, unable to turn without assistance. R1 is not receiving Hospice Care services and is not temporarily bedridden. A review of R1's discharge papers from the Skilled Nursing Facility (SNF) dated 08/14/23, state R1's ambulatory status is total care and total care for ADL's. Interviews with staff state, R1 is a 2 person assist. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 809-D. An exit interview was conducted with facility manager, as Administrator was unavailable to sign reports. A copy of this report and appeal rights were discussed and provided at the time of visit. A plan of correction was developed by facility manager and reviewed with LPA. POC due date is 09/22/23.

Citations

2 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.

  • 87608(B)Type B

    87608 Postural Supports(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement was not met as evidenced by LPAs observation of Resident R1's bed with full bed rails. LPA reviewed discharge paperwork from SNF dated 08/14/23, stating R1's ambulatory status is "total" care. R1 is not receiving Hospice Care Services. This poses a potential risk to the health, safety or personal rights to persons in care.

  • 87613(a)(2)(A)Type B

    87613 General Requirements for Restricted Health Conditions(a) Prior to admission of a resident with a restricted health condition, the licensee shall:(2) Ensure that facility staff who will participate in meeting the resident’s specialized care needs complete training provided by a licensed professional sufficient to meet those needs. (A)Training shall include hands-on instruction in both general procedures and resident-specific procedures. This requirement was not met as evidenced by LPA's observation of Resident R1, records review and interviews with staff. Facility has not completed training with a licensed professional for incontinence care. Facility currently has 8 out of 27 residents with incontinence. This poses a potential risk to the health, safety or personal rights to persons in care.

    Read full inspector narrative

FAQ · About this visit

Common questions about this visit

What happened during the August 30, 2023 inspection of PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENS?

This was an other inspection of PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENS on August 30, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENS on August 30, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87608 Postural Supports(B) Bed rails that extend the entire length of the bed are prohibited except for residents who ar..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.