Kern Village Assisted Living for Seniors

Based on records reviewed, interview conducted and observation, S2 is working providing care for residents. S2 is fingerprinted cleared who is not associated to facility, which poses an immediate risk to the health and safety of the residents.

Based on record review, the licensee did not comply with the section cited above when LPA reviewed and A1 confirmed S1 and S2’s files and observed no health screening were on file, which poses a potential health or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above when LPA review R1’s file, whose currently receiving hospice care with no hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

Based on record review and interview conducted, the licensee did not comply with the section cited above when LPA review R2’s file, whose currently receiving home health with no home health records and care plan on file, which poses a potential health or personal rights risk to persons in care.

The facility annual fee is overdue with a past due amount of $1,485.00, this poses potential health and safety risk to residents in care.

Personnel Requirements - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This was not met as evidenced by: Based on the interviews conducted and records reviewed, facility staff did not monitor R2’s glucose level. The facility staff also did not ensure R2 received his medications to treat his insulin-dependent diabetes condition. This resulted in R2’s hospitalization and death, which poses an immediate Health and Safety concern.

Administrator - Qualifications and Duties - Knowledge of and ability to conform to the applicable laws, rules and regulations.This was not met as evidenced by: Based on interviews conducted, Administrator did not ensure resident’s care needs were met, which poses an immediate Health and Safety concern.

Basic Service - 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 records reviewed, facility staff left resident soiled and failed to ensure resident received medications, which poses an immediate health and safety concern.

In all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated as having primary responsibility for assuring that each resident receives needed first aid and needed emergency medical services and for assisting residents as needed…This requirement was not met: Based on interviews conducted, it was confirmed, S1 refuse to assist resident with first aid which poses a potential health and safety and personal rights risk to the person in 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 records review and observation, R1 and R2 medications were not administered by staff as instructed by physician which poses an immediate health and safety risk for the person in care.

To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by: Based on interviews conducted, S1 uses social force on R1 to take showers which poses a potential health and safety risk for the person in care.

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 is not met as evidenced by: Based on observation and interviews conducted, at 12:01PM, Room 7 a shared room, was missing a bathroom door and has not been replace for a while which poses a potential health and safety risk for the person in care.

Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.This requirement was not met as evidenced by: Based on observation, in resident’s room 11, mold was observed in the bathroom shower floor and wall which poses a potential Health, Safety, and Personal Rights risk to the resident.

If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration…(2)… the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on interviews conducted, records reviewed and observation, R1’s medication and MARs were reviewed and observed that staff did not administer medication: Lidocaine 5% patch at 7AM for multiple dates in February 2024, on 2/9/24 7PM and 2/11/24 7PM. Medication Morphine 15mg was not administer on 2/9/24 8PM and 2/10/24 8PM. Morphine 15mg was administered on 2/10/24 and 2/11/24 after medications were changed on 1/29/24 to Morphine 30 mg. Medication Morphine 30 mg was not administer on 2/10/24, 2/11/24 8AM, and 2/12/24 8AM. Medication Valproic Acid 250 mg was not administered on 2/5/24 12PM and 2/11/24 8PM. Diclofenac Sodium 1% gel was not administered on 2/6/24 8AM and 2/7/24 8AM. Several medications not being administered to R1 poses an immediate health and safety risks to the person in care.

Personal Rights of Residents in All Facilities To receive or reject medical care or other services.This requirement was not met as evidenced by: Based on interviews conducted, the resident had requested to go to the hospital and the facility staff refused to call for the resident to be taken to the hospital, which poses an immediate health and safety risks to persons in care.

87468.1(a)(3) Personal Rights of Residents in All Facilities 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 has not been met by: Based on interviews conducted, reviews of photos and records, on 12/10/23 S1 had slapped R1 on the hand multiple times leaving R1 bruises on the forearm. S1 scold and demanded the resident to go to the resident’s room which poses a potential health, safety or personal rights risk to persons in care.