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Inspection visit

complaint

ROYAL VISTA SAN GABRIELLicense 1986025641 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Allegation: " Resident did not receive medications appropriately." Based on records review and interviews conducted the findings indicate resident (R1) was no administered medications as directed by physician. Resident moved in on 4/3/2021. The resident's medication list was emailed to facility staff prior to move-in date. On 4/3/2021, R1 brought medications in a weekly pill box. Facility staff did not verify medication list with physicians until April 16, 2021. Facility med-tech staff did not follow-up with pharmacy or physicians per facility protocols. During today's medication review errors were observed. Resident (R2's) Triamterene-HCTZ 37.5-25 mg medication was discontinued on 3/26/2021 per MAR (Medication Administration Record), but medications is still being dispensed. Resident (R3's) Betamethasone DP aug .05% medication listed on the MAR record was not found by staff. Resident (R4's) MAR indicated that medication Alendronate Sodium 70 mg is to be only administered once a week on Sundays. The MAR report had documentation errors. It stated that the medication was administered daily. Staff (S1) initials were observed. Based on document review, and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8, Article 08. An exit interview was conducted with Resident Care Coordinator Marina Galaviz. A copy of the report an appeal rights were provided.

Citations

2 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(c)(2)Type A

    87465)(c)(2) Incidental Medical and Dental Care. If the resident's physician has stated in writing that the resident is unable to determine his/her own need ........ facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: Once ordered by the physician the medication is given according to the physician's directions. Based on records review facility staff did not verify medication list with R1's MD after moving in. Per Medication Administration Records (MAR) residents (R1-R4) were not administered medications as directed per physicians.

  • 87468.1(a)(2)Type B

    Based on observation resident room 317 did not have hand washing soap in the bathroom which poses/posed a potential health, safety or personal rights risk to persons in care. In addition, hand sanitizer stations were not observed in the 2nd floor hallways.

FAQ · About this visit

Common questions about this visit

What happened during the May 12, 2021 inspection of ROYAL VISTA SAN GABRIEL?

This was a complaint inspection of ROYAL VISTA SAN GABRIEL on May 12, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ROYAL VISTA SAN GABRIEL on May 12, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465)(c)(2) Incidental Medical and Dental Care. If the resident's physician has stated in writing that the resident is..."

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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