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Inspection visit

complaint

CEDARS ASSISTED LIVING, THELicense 1976082671 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Pitz initiated a complaint investigation visit on this day for the purpose of delivering the Investigation Branch’s (IB’s) findings on the above allegations. Allegation #1, that “Resident has multiple unstageable pressure injuries”, has been substantiated based on the records reviewed and the credible nature of the reporting party. During the course of the investigation, it was revealed that former Resident #1 (R1) indeed sustained several pressure injuries during their stay at the facility. Per medical documents obtained during the investigation, it was indicated that upon admission to Northridge Hospital Medical Center on 7/5/20 R1 had sustained two “unstageable” pressure injuries on their back, as well as an unstageable pressure injury on their right heel and sacrum. While residing at the facility, R1 was receiving home health services for wound care prior to being hospitalized but was not on hospice. The reporting party, a credible source, stated that the wound “could have been preventable if resident was regularly turned and cared for appropriately.” An exit interview was conducted with the Administrator, and a hard copy of the report and appeal rights was delivered.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87615Type A

    87615(a)(1) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: Stage 3 and 4 pressure injuries.This requirement is not met as evicenced by: Based on record review the licensee did not ensure that Resident 1 did not contract a prohibited health condition while at the facility which posed an immediate risk to residents in care.

  • 87466Type A

    87466 The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability... This requirement is not met as evidenced by:Based on records reviewed and interviews conducted, the facility did not ensure that R1's deteriorating condition was documented and responded to in a timely fashion which posed an immediate risk to residents in care.

  • 87464(f)(1)Type A

    87464(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This requirement is not met as evidenced by:Based on recrods reviewed and interviews conducted, the facility did not ensure that sufficient care and supervision was provided to R1 to prevent a series of falls which poses an immediate risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 5, 2021 inspection of CEDARS ASSISTED LIVING, THE?

This was a complaint inspection of CEDARS ASSISTED LIVING, THE on November 5, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to CEDARS ASSISTED LIVING, THE on November 5, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87615(a)(1) Persons who require health services for or have a health condition including, but not limited to, those spec..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.