Silverado Senior Living - the Huntington

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. The south side fire door was tested and did not operate properly; it did not open after 30 seconds. One door in the lobby is not working and does not open after 30 seconds. Staff provided work order for Wandering Gate Upgrade proposal from West Mills Communications Corporation which poses/posed a potential health, safety or personal rights risk to persons in care.

87211(a)(1)(D) Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (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 specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (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 is not met evidenced by: R1 showed inappropriate sexual behaviors on 01/28/2024, 03/08/2024, 03/09/2024, 04/27/2024, 05/01/2024, 05/06/2024, 05/09/2024, 06/26/2024, 08/10/2024. and 07/14/2024. Facility did not report these incidents to the department as required.

Based on observation, the licensee did not comply with the section cited above the water measured between 102.3 - 120.0 which poses/posed a potential health, safety or personal rights risk to persons in care.

87405(h)(3)Administrator - Qualifications and Duties(h) The administrator shall have the responsibility to: (3) Develop an administrative plan and procedures to ensure clear definition of lines of responsibility, equitable workloads, and adequate supervision.This requirement is not met as evidenced by: Based on interviews and documents reviewed, licensee did not ensure the administrator seek appropriate intervention for R1 in the course of (eight) 8 months which poses an immediate risk to the personal rights, safety, and health of the persons in care.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (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 is not met as evidence by: Based on documents reviewed and interviews, licensee did not ensure R1’s inappropriate sexual behavior disturbed other residents in care which poses an immediate risk to the personal rights, health, or safety of the persons in care.

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This deficiency is evidenced by: Based on observation by LPAs and Director of Health Services during tour of facility licensee did not ensure staff locked up 3 pairs of scissors left unattended in the unlocked wellness room at 9:50AM on the second floor of dementia care facility which poses a potential risk to the health, safety, or personal rights of the persons in care.

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This deficiency is evidenced by: Based on observation by LPAs and Director of Health Services during tour of facility licensee did not ensure staff locked up 3 pairs of scissors left unattended in the unlocked wellness room at 9:50AM on the second floor of dementia care facility which poses a immediate risk to the health, safety, or personal rights of the persons in care.

87468.1Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (15) To send and receive unopened correspondence in a prompt manner.This requirement has not been met as evidenced by: S3 and S5 stated that resident's correspondence is opened and screened before giving it to resident which poses an immediate risk to the health, safety, or personal rights to the persons in care.

Based on observation, the licensee did not comply with the section cited above. Facility front side fire door is not operating as it should, it will not open. Call cord in room 157 needs repair, and there is a leak in the food storage room 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. the water at the facility measured 93.7 to 122.0 in random rooms which poses an immediate health, safety or personal rights risk to persons in care.

80072(a)(b)(1) (a) In addition to Section 80072, the following shall apply.(b) The licensee shall insure that each client is accorded the following personal rights.(1) To visit the facility with his/her relatives or authorized representative prior to admission. Facility failed to insure that resident/family or authorized representative visit facility prior to admission.

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.This requirement is not met as evidenced by: Resident#1 did not have a current physician report on file.Based on file review, Administrator did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.

87411(f) All personnel shall be in good health...Good physical health shall be verified by a health screening, including a chest x-ray....not more than six (6) months prior to or seven (7) days after employment or licensure.Based on record review, the licensee did not comply with the section cited above in which 2 of the 4 staff did not have health screening forms filled out which poses a potential health and safety risk to persons in care.

87705(c)(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually,Based on record review, the licensee did not comply with the section cited above in which 3 out of 5 residents' physician's report are past a year of its last exam which poses a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in which 4 out of the 8 rooms' hot water temperature were over 120 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs....This requirement is not met as evidenced by: Based on interviews and records review, the facility failed to ensure that R1 was wearing a hip protector garment and resulted in a hip fracture which poses an immediate health and safety risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities...(4) To care, supervision, and services that meet their individual needs and are delivered by staff...This requirement is not met as evidenced by: Based on interviews, staff did not ensure that R1, who was supposed to be provided a hip protector, was wearing one which poses an immediate health and safety risk to residents in care.

87625 Managed Incontinence(b) In addition to Section 87611,... the licensee shall be responsible for the following:(1) Ensuring that residents who can benefit from scheduled toileting are assisted...rather than being diapered.This requirement is not met as evidenced by: Based on staff interview, the Administrator did not ensure that resident is being transferred to the toilet upon request which poses a potential health, safety, and personal rights risk to residents in care.

87468.1 Personal Rights of Residents in All Facities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement is not met as evidenced by: Based on interviews, S-1 admitted to not taking R-1 to sit on the toilet when requested on 6/4/21 which poses a potential personal rights risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: The licensee did not ensure that the staff member was wearing a mask while assisting resident which poses a potential health, safety, and personal rights risk to residents in care.