Zann Daily Care

Based on observation and record review, the licensee did not comply with the section cited above. Resident #1 (R1) had full bedrails and was not receiving hospice services which poses/posed a potential health, safety or personal rights risk to persons in care.

Perform a pre-admission resident appraisal

Based on observation and record review, the licensee did not comply with the section cited above. Resident #5’s (R5) and Resident #6s (R6) files were missing Preplacement Appraisal (LIC 603). This poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on record review, the licensee did not comply with the section cited above. Resident #5’s (R5) file was missing Medical Assessment (LIC 602A) which poses/posed a potential health, safety or personal rights risk to persons in care.

Label and preserve medicine compliance standards

Based on observation and record review, the licensee did not comply with the section cited above. Resident #3’s (R3) Centrally Stored Medication and Destruction Record (LIC 622) was missing documentation for the month of October. Resident #4’s (R4) medication records were inconsistent. Additionally, Resident #6’s (R6) medication records were incomplete. This poses/posed a potential health, safety or personal rights risk to persons in care.

Dispose of unused medications with required witness

Based on observation and interview the licensee did not comply with the section cited above. LPA observed expired medications, staff medications, and medications belonging to former residents. This poses/posed a potential health, safety or personal rights risk to persons in care.

Admission agreement signing and dating deadline

Based on record review the licensee did not comply with the section cited above. Resident #6’s (R6) Admission Agreement was incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

Based on observation, the licensee did not comply with the section cited above. LPA observed sharp objects drawer unlocked. This poses/posed an immedate health, safety or personal rights risk to persons in care.

Right to sufficient care and qualified staff

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. To care, supervision, and services that meet their individual needs and are delivered by staff that are…qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews and records review, licensee did not comply with the above the section by not providing the appropriate care, supervision, and competent staffing to R1 which resulted in R1 sustaining multiple pressure injuries.