Noho Assisted Living, Inc

Oxygen Administration - Gas and Liquid: In addition to Section 87611(b), the licensee shall be responsible for the following: Ensuring that the use of oxygen equipment meets the following requirements: A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. This requirement was not as evidenced by: Resident #1 uses oxygen and it was not reported to the local fire department as of today's visit

Hospice Care Waiver: If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents, which shall include, but not be limited to, the following requirements: The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. Resident #1 was receiving hospice services begining 11/8/24 and it was not reported to the Department

Incidental Medical and Dental Care: The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by: Resident #1 was observed having difficulty breathing before lunch and the staff did not call 911 services until the late afternoon when the resident's ability to breathe rapidly declined.

Based on observation the licensee did not comply with the section cited above in 2 out of 3 resident bedrooms toured, bedroom #1 and bedroom #2 did not have any chest of drawers which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the fire place was observed with a sliding glass door and did not have a fire screen placed in front to make the fire place inaccessible to the residents in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 files reviewed that the staff are dispensing PRN medications without contacting the doctor and are not documenting the physicians instructions, the results of the the medication, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 5 out of 5 counts of files reviewed for physician's orders for the centrally stored medications. None of the files had copies of physicians orders on file for the centrally stored medication which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 files reviewed, the facility has not obtained PRN Authorization letters for Resident # 1, Resident #2, Resident #4 and Resident #5 to determine if the residents are capable of making their need for the medications known. The facility has been dispensing medications without contacting the physician and obtaining instructions and this poses a potential health, safety risk or personal rights risk to persons in care.

Based on record review the licensee did not comply with the section cited above in 4 out of 5 counts by not documenting the residents results of the medication which poses/posed a potential health, safety or personal rights risk to persons in care.