Sterling Senior Living 3

87211(a)(B)(D) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require... (B) Any serious injury... occurring while the resident is under facility supervision. (D) Any incident which threatens the welfare, safety, or health of any resident... This requirement is not met as evidenced by: Based on records and interviews, the facility failed to submit a written report to Licensing for resident R1 who sustained multiple unexplained injuries while in care. This violation poses a potential health, safety, or personal rights risk to persons in care.

87412 Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information.This has not been met as evidenced by: Based on LPA's observations, the Licensee's current CPR certificate expired 12/02/23. Licensee later provided CPR certificate, updated 12/12/23.

87465 Incidental Medical..Care (a) A plan for incidental medical..care shall be..by each facility. The plan shall encourage routine medical..care and provide for assistance in obtaining such care, by compliance with the following: (6) When requested by..the Department, a record of dosages which are centrally stored shall be maintained by the facility.This has not been met as evidenced by:LPA observed 12/04/23 and 12/06/23 without medications prescribed by physician's order recorded as written above.

Based on observation], the licensee did not comply with the section cited above. LPA identified prescribed medications that required refrigeration were store in refrigerator for residents. The medications were accessible to residents in care. This violaton which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record reviews the Licensee/Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited. Administrator is not meeting the required hours for supervision at the facility according to staff. The admnistrator spend less than 20 hour per week. This which poses a potential health and safety risk to residents in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified staff #1 did not have a current administratior certificate. The certificate expired 08/30/23 and not proof of evidence that renewal was submitted to Department Administrator Certification. This violaton which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. LPA identified staff #1 and #5 did not a valid or current CPR/First Aid on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee did not comply with the section cited above. LPA was informed by staff that no emergency drills have been conducted. The facility did not have log drills have been performed. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified no record keeping records were foun for resident # 4 on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and review, the licensee did not comply with the section cited above. LPA identified in resident #2, #3, and #5 PRNs and prescibed medications by PCP were not included on the Medication Administration Record (MAR). This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review the licensee did not comply with the section cited above. LPA identified resident #3 had full bed rails and not on hospice care with no dotor's orders. This violationwhich poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified resident #4 did have a current medical/appraisal assessment and is diagnosed with Dementia. The last medical assessment is 2021. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above. The facility does not have a NOC shift staff according to LIC 500 and administrator. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA identified window blinds in room #3 with broken blinds and room #5 bedside table as a missing drawer. The violaiton which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited. A bottle of wound solution was found under bathroom #2 sink accessible to resident with dementia. This violation which poses an immediate health, safety or personal rights risk to persons in care.