American Senior Living

Agree in writing on agency and facility responsibilities

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

Facility must keep complete hospice care plan on file

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

Maintain physician order documentation in resident record

Based on interview conducted, observation, and records reviewed, R3 was observed laying in hospital bed using ½ rails on each side. There is no doctor’s order for ½ rail bed for R3, which poses/posed a potential health and safety and personal rights risk to the resident in care.

87506 (b)(17) Documents and information required…This requirement is not met as evidenced by: Based on record review, residents’ file were reviewed and observed R1 do not have an appraisal (Lic 603) and needs and services plan (Lic 625) on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Document required staff training and orientation

87412 (c) Licensees shall maintain in the personnel records verification of required staff training and orientation.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when LPA reviewed S1’s file and observed S1 have not received the required initial staff training and orientation, which poses/posed a potential health, safety or personal rights risk to persons in care.

Protection from punishment and intimidation

87468.1 (a)(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 is not met as evidenced by: Based on interviews conducted, the licensee did not comply with the section cited above Licensee/ Administrator confirmed making comments regarding R1 of R1’s behavior, which poses/posed an immediate health, safety or personal rights risk to persons in care.

87211 (a)(1)(D) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events…(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement was not met as evidenced by: Based on record review and interview conducted, Licensee did not submit a written report to the department within 7 days of incident when R1 had a fall on 10/25/25, this poses a potential health and safety risk to residents in care.

Report specified resident events within seven days

87211(a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require… (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events...This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not ensure a written incident report was submitted to the department within 7 days of occurrence when R1 went to the hospital on 02/13/25 and 02/25/25, this poses/posed a potential health and safety risk to residents in care.