Arcadia Gardens Retirement Hotel

87507-Admissions agreement. (E) Preadmission fees shall be refunded according to the following conditions:1. A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if: a.The applicant decides not to enter the facility prior to the facility completing a preadmission appraisal as defined in Section 87457. This requirement was not met by: the facility failed to refund advanced deposit to resident within fifteen days as wriiten in the admission agreement.

Additional Personal Rights of Residents in Privately Operated Facilities(a)(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to provide proper care, supervisions and services to meet resident#1’s care needs who had pressure injuries and changed in condition, which poses a potential health, safety, or personal rights risk to persons in care.

Reappraisals (a)(3) Any illness, injury, trauma, or change in the health care needs of the resident that results in a circumstance or condition specified in Sections 87455(c) or 87615, Prohibited Health Conditions.This requirement was not met by evidence of: Based on record review & staff interviews, the licensee did not (1) comply with the section cited above; (2) document or update resident#1's Plan of Care; (3) provide care by medical professional to resident#1 who had unstageable pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

Incidental Medical and Dental Care (a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to seek timely medical attention for resident#1 when resident sustained pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities (a)(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs.This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to inform and notify resident#1's authorized representative of change in condition, which poses a potential health, safety, or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care(a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement was not met by evidence of Based on interviews and record reviews, Administrator failed to seek timely medical attention for resident#1 when resident sustained pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities.(a)(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs.This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to notify resident#1's authorized representative of change in condition, which poses a potential health, safety, or personal rights risk to persons in care.

87631 Healing Wounds(a)(3)(B) All aspects of care performed by the medical professional and facility staff shall be documented in the resident's file.This requirement was not met as evidenced by: Based on record review & staff interviews, the licensee did not (1) comply comply with the section cited above; (2) document or update resident#1's Plan of Care; (3) provide care by medical professional to resident#1 who had unstageable pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

87405 Administrator - Qualifications and Duties(d)(1) Knowledge of the requirements for providing care and supervision appropriate to the residents.This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to provide proper care to resident#1who had pressure injuries and changed in condition, which poses a potential health, safety, or personal rights risk to persons in care.

Personal RightsResidents in all residential care facilities for the elderly shall have all of the following personal rights:To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by:Based on interviews conducted and file review licensee failed to have Individual # 1 be permitted to visit which causes an Immediate Health and Safety Risk to Residents in care.

Personal RightsResidents in all residential care facilities for the elderly shall have all of the following personal rights:To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by:Based on interviews conducted and file review licensee failed to have Individual # 1 be permitted to visit which causes an Immediate Health and Safety Risk to Residents in care.

A hole located above the shower host in residents’ bathroom in resident room # 110 and #104 was observed. The hole was taped with a piece of tape.Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

80087(a)(1). Buildings and Grounds. The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met by evidence of: Based on interviews conducted the findings indicate there have ants sighting in resident bathrooms. Administrator stated that a pest control company services monthly.

Maintenance and Operation. 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;On 8/14/19, During a walk through of resident rooms between the hours of 9:35AM - 10:15AM, the Assistant Administrator tested the call light button in the following resident rooms with LPA present and the call light button was observed to be inoperable as there was no light or sound on the intercom and no response from staff; Rooms 153E, 155E, 159E, 157E, 156E, 158E and 160E.