Reesejoy Care Home Ii

Limit staff assistance with self-administered drugs

Incidential Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on medications review, the licensee did not comply with the section cited above, as the LPAs could not complete an accurate medication count, which poses an immediate health and safety risk to residents in care.

85076 Food Service (d) The licensee shall meet the following food supply and storage requirements: (1) Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premise. This requirement is not met as evidenceBased on teams observations, insufficient food, within the regulation was observed for a total of five residents in care. This poses an immediate health, safety, or personal rights risk to clients in care.

87555 GENERAL FOOD SERVICE REQUIREMENTS (b) (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement is not met as evidence Based on interviews, 3 out 5 residents confirmed that staff don't offer variety of food. This poses a potenital health, safety, or personal rights risk to clients in care.

Facility personnel sufficiency and competence

Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Information received confirming that there was a staff delay in a response to a resident's need when the smell of gas was worsening in the early morning of 02/14/24, resulting in R1 to experieince headache, itchy throat and nose irritation. This posed a potential health and safety risk to the resident in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation: 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 as evidenced by Although arrangements were made tohave a technician address the smell of gas, and licensee purchased a new stove, per LAFD recommendations, efforts should have already been made to prevent the smell of gas from worsening, and affecting a resident in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation: 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 not met as evidenced by: Based on the physical plant inspection and interviews during the investigation made on 07/18/23, it was confirmed that the facility air conditioning unit is in disrepair.

Each terminal resident needs a written hospice care plan

The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services. A written hospice care plan which specifies the care. services, and necessary medical intervention related to the terminal illness care and supervision provided by the facility is developed for each terminally ill resident and agreed to by the licensee and the resident and all hospice care plans are fully implemented by the licensee and by the hospice(s).

Permit PRN self-administration with written ability

If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication.

A plan for incidental medical and dental care shall be developed by each facility. Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication.

Limit staff assistance with self-administered drugs

87465 Incidental Medical and Dental Care (a)A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (5)The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by. Based on interviews and record review, the staff did not dispensed PRN pain medication to R1. This possess an immediate health and safety risk to residents in care.

Acceptance obligations tied to pre-admission appraisal needs

87464 (d) Basic ServicesA facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs….and providing the other basic services… eitherdirectly or through outside resources. This requirement is not met as evidenced by; The facility staff did not ensure that R1’s hygiene needs are met. R1 was not bathed for a week and observed to be covered in feces. This poses a potential health and safety risk to residents in care.