San Dimas Adventist Home Care

Based on record review, proof of documentation could not be furnished, the licensee did not comply with the section cited above in 4 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, R1, R2,and R3 the licensee did not comply with the section cited above in 3 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, R1's emergency contact info was incomplete, the licensee did not comply with the section cited above in 1 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, bedroom#1 auditory device was is disrepair, the licensee did not comply with the section cited above in 2 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview the licensee did not comply with the section cited above. Facility does not have current infection control plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 residents with dementia did not have an annual medical assessment and reappraisal done, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 5 resident medications were not properly labeled, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observations and records reviewed, the licensee did not comply with the section cited above in 1 out of 5 residents which poses a potential health, safety or personal rights risk to persons in care. Resident #1's (R1) physician's report indicates R1 is bedridden. R1 was also observed and was not able to reposition in bed. R1 is currently on hospice. Facility does not have a bedridden plan of operation and does not have the required training on file for staff regarding bedridden residents.

Based on observations and records reviewed, the licensee did not comply with the section cited above in 2 out of 5 resident records which poses a potential health, safety or personal rights risk to persons in care. Resident #1 (R1) and Resident #2 (R2) were observed having half-length bed rails on their beds. Resident files were reviewed and R1 and R2 did not have physician's orders for the postural supports.

Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Facility should have a sign-in policy for all visitors to ensure compliance with central entry point for symptom screening and to record contact information (for reporting requirements to public health officer and contact tracing). Facility did not require LPA or another visitor to sign-in at the time of the visit.

Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Staff should conduct routine symptom screening (+/- temperature and symptom check) at entry for all staff, residents, and visitors. Staff did not assess LPA or visitor observed entering the facility.