Atria Santa Clarita

(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (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 is not met as evidenced by; Based on interviews and record review, facility did not meet with R1 or RP to discuss the details behind the most recent rate increase which poses a potential health safety and personal rights risk to residents in care.

Additional Personal Rights of Residents in Privately Operated Facilities: (a)...residents in privately operated residential care facilities for the elderly shall have …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 ...This requirement was not met, evidenced by, based on the investigator Torre, R1 was considered a fall risk, and no new corrective action and/or care plan was implemented to address the recurrent falls.This a health and safety risk to residents in care.

Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensuretheir general health, safety, and well being This requirement is not met as evidenced by: based on interviews during today's visit, (R1) walked out the front door of the memory care unit without staff awrare. This is an immediate health and safety risk to residents in care.

Care of Persons with Dementia: (j)The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met, evidenced by; based on interviews and information obtained R1 is diagnosed with dementia, and eloped from the facility on (3) different occasions. This is an immediate health and safety risk to residents in care.

Care of Persons with Dementia: (j)The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met, evidenced by; based on interviews and information obtained R1 is diagnosed with dementia, and eloped from the facility and returned by the police. This is an immediate health and safety risk to residents in care.

Maintenance and Operation: (a) 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 was not met evidenced by, based on today's interviews, it was reported the resident's pendents were not working for (4) days. This is a potential health and safety risk to residents in care.

Incident Medical/Dental Care. (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication...facility staff..shall be permitted to assist... (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, evidenced by, staff did not administer the medication according to doctor's orders. This a health and safety risk to residents in care.

(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.This requirement is not met as evidenced by: Based on IB investigator interview and record review, licensee failed to ensure that there is sufficient staff to care for R1 based on R1's current appraisal. This poses an immediate health and safety risk to the residents in care.

Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being.This requirement is not met as evidenced by: Based on IB investigator's interview and record review, licensee did not ensure to supervise/monitor the resident to ensure R1's health safety and wellbeing. R1 fell and sustain injuries due to lack of proper supervision/monitoring. This poses an immediate health and safety risk to residents in care.

87463 Reappraisals (a)…The reappraisals shall document changes in the resident's physical, medical, mental, and social condition…(b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person. This requirement is not met as evidenced by; Based on record reviews, the family AND physician were not notified in writing of the change in level of care which poses a potential health, safety and personal rights risk to residents in care.

87465(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 is not met as evidenced by: Based on medication review, the licensee did not comply with the section cited above as the facility did not ensure that medications were given as prescribed which poses an immediate health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation (a) 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 met as evidenced by; Based on interviews, record review and observations, the licensee did not comply with the section cited above as the door was left in disrepair while the room was occupied by a resident which poses a potential Health, Safety, or Personal Rights risk to residents in care.

Enumerated rights; severability - (10) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement is not met as evidenced by: Based on LPA interview, the licensee failed to ensure that R1's personal rights was observed and respected by the staff. This poses an immediate safety and personal righs risk to the resident in care.

87211 Reporting Requirements (a) (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).. Any incident which threatens the welfare, safety or health of any resident....This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not file an incident report and did not notify the resident’s responsible party. This poses a potential health safety risk to residents in care.