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Inspection visit

complaint

REGENCY PALMS LONG BEACHLicense 1986025672 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation “Staff handled resident in a rough manner”, it is being alleged that on 11/20/2024 Staff 1 (S1) handled Resident 1 (R1) (who has dementia and wanders) in a rough manner. Interviews conducted revealed the following: Staff 1 indicated that they placed their arms underneath R1’s arm pits and walked behind R1 to take them out of another resident’s room. Witness 2 (W2) indicated that they saw R1 go into another resident’s room and S1 did not redirect R1 but instead S1 took out R1 by holding both hands behind R1’s body. Witness 2 explains that they did not clearly see what happened but is certain that S1 physically removed R1 from the other resident’s room. Witness 1 (W1) indicated that they saw R1 walk into another resident’s room. Witness 1 goes on to explain that S1 grabbed both of R1’s arms behind their body and then pushed out R1 with their upper body. Three staff who were not witnesses of the incident indicated that they heard a similar story of the incident. During interviews conducted with staff, staff gave examples of how to redirect residents with dementia and none of the examples involved physically touching residents. Records reviewed of the Facility "Dementia Care Plan of Operation for Regency Palms Long Beach" state the following: “Respect the Individual: In addition to specific “resident rights” outlined in state regulations, we advocate the following rights for all residents: Freedom from…physical restraints o Freedom to move without being confined including space…3. Special Techniques/programs for managing specific types of behavior. In order to provide optimal care…Agitation…wandering…can become difficult management issues…Appropriate behavioral interventions can include: Offer a snack, sensory stimulation, 1 on 1 interaction…Wandering: daily living skills, walking, dancing…” The Facility “Dementia Care Plan of Operation for Regency Palms Long Beach” provides 20 different examples of redirection when residents are wandering. Moreover, none of these examples indicated physically touching a resident nor physically relocating a resident. Furthermore, S1 did not follow the Facility’s “Dementia Care Plan of Operation for Regency Palms Long Beach” because they indicated they used “physical restraints” by physically removing R1 from a resident's room. S1 did not use “Appropriate behavioral interventions” at outlined in the “Dementia Care Plan of Operation for Regency Palms Long Beach.” Regarding the allegation “Staff handled resident in a rough manner”, the preponderance of the evidence standard has been met therefore the allegation is substantiated. Deficiencies cited based on interviews conducted and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted, and a copy of this report was left with the Executive Director along with their appeal rights.

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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (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) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement was not meet by evidence by: Based on interviews conducted and record review, the licensee did not comply with section cited above by not submitting a written report to the licensing agency within seven days of the incident that occurred on 11/20/2024.

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  • 87468.1(a)(3)Type B

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature...interfering with daily living functions such as...elimination.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by having S1 physically remove R1 from a resident room. Thus, R1 was not free from punishment, humiliation, physical abuse, or actions that were punitive in nature, which poses a health, safety, and personal rights risks to residents in care.

  • 87705(aType B

    87705 Care of Persons with Dementia (a) This section applies to licensees who accept or retain residents diagnosed…to have dementia…(b) In addition to…the plan of operation shall address the needs of residents with dementia, including:…(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials…(3) In addition to the on-the-job training…staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (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. (4) Without violating Section 87468, Personal Rights, facility staff shall attempt to redirect a resident who attempts to leave the facility. (5) Residents who continue to indicate a desire to leave the facility following redirection shall be permitted to do so with staff supervision. (6) Without violating Section 87468, Personal Rights, facility staff shall ensure the continued safety of residents if they wander away from the facility…(A) Facility staff shall attempt to redirect any unaccompanied resident(s) leaving the facility. (5) Interior and exterior space shall be available on the facility premises to permit residents with dementia to wander freely and safely. (8) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by not following their Plan of Operation regarding safety measures to address behaviors such as wandering; S1 not redirecting R1 safely; S1 violating Personal Rights during attempted redirection for R1; not allowing R1 to wander freely and safely within the premises.

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FAQ · About this visit

Common questions about this visit

What happened during the December 17, 2024 inspection of REGENCY PALMS LONG BEACH?

This was a complaint inspection of REGENCY PALMS LONG BEACH on December 17, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to REGENCY PALMS LONG BEACH on December 17, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may ..."

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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