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Inspection visit

complaint

LEISURE GARDEN SENIOR ASSISTED LIVING FACILITYLicense 1976100321 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

From approximately 12:00 p.m. to 1:25 p.m. LPAs interviewed three (3) staff that have provided laundry service for residents and fourteen (14) out of one hundred one (131) randomly selected residents. From approximately 1:30 p.m. LPA reviewed the facility's laundry schedule for residents found to need the assistance, LIC 500, and facility program mentioning laundry services. Interview with the assistant administrator revealed the facility has added new large capacity washers, explained the facilities laundry process and revealed the designated person for laundry no longer works for the facility and currently the Direct Care Provider (DSP) Supervisor is overseeing laundry services. DCPs have been instructed to assist with laundry and follow a schedule for residents needing the assistance but will assist any resident who requests laundry service. The assistant administrator also discussed the facility's process for documenting residents personal belongings when they first arrive to the facility. According to the assistant administrator many of the residents and their families have refused documenting or inventorying item brought in by residents or items provided to them by family when they are already at the facility. Interviews with seven (7) out of fourteen residents (14) corroborate either personally having various clothing gone missing after it was collected for laundry or arriving to the facility with items that they have later never seen again. Interview with two (2) out of three (3) staff corroborate they have heard residents and their families' complain about clothing going missing after laundry service. According to interviews with staff the facility is working on the issue and has implemented procedures to return clothes to the right resident. Although residents' interviewed could not recall exactly which items have gone missing or if they had completed an inventory of items during the admission process, interviews with both residents and staff revealed they had brought up their issues with laundry service to staff and management. Based on interviews conducted, the above allegation is found to be SUBSTANTIATED at this time. Deficiencies cited (refer to 9099-D). Exit interview was conducted with administrator. A copy of the report and appeal rights provided.

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.

  • 87465(g)Type A

    87465 Incidental Medical & Dental Care (g) The licensee shall immediately telephone 911 if an injury,... has resulted in an imminent threat to a resident’s health including,.. an apparent life-threatening medical crisis...This requirement was not met as evidenced by: Based upon staff interviews, staff failed to call 911 when staff observed the resident had experienced pain and discomfort which poses an immediate health & safety risk to residents in care.

  • 87466Type A

    87466 Observation of the Resident.The licensee shall ensure that residents are regularly observed for changes in... physical,..functioning &...assistance is provided... When changes...are observed, the licensee shall ensure that changes are brought to attention of resident's physician... This requirement was not met as evidenced by: Staff interviews revealed the changes in R1's health were not brought to the physician's attention in a timely manner, which poses an immediate health & safety risk to residents in care.

  • 87217(b)Type B

    87217(b)Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff...This requirement was not met by evidence of: Based on interviews conducted with staff and residents the licensee failed to take appropriate measures to return residents' personal property after laundry service which poses a potential health, safety, or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 1, 2024 inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY?

This was a complaint inspection of LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on March 1, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY on March 1, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical & Dental Care (g) The licensee shall immediately telephone 911 if an injury,... has resulted in..."

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.