Sunrise Assisted Living of Hermosa Beach

(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident...This requirement was not met as evidence by:Based on resident interviews, five out of eight residents (R1-R8), indicated they were unable to shower, was not presented with alternatives or did not receive shower assistance/sponge bath according to schedule due to lack of hot water. This posed a potential health and personal rights risk to clients in care.

Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4).This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above in not calling 9-1-1 for an unwitnessed fall that lead to head injuries, staff observed R1 with head injuries such as a swollen lip, chip tooth, cut inside their mouth, cut outside their mouth, droplets of blood in R1’s room, which could have led to an imminent threat to R1’s health, which posed a potential health, safety risk to person in care.

87612 Restricted Health Conditions(a) The licensee may provide care for residents who have any of the following restricted health conditions, or who require any of the following health services: (11) Wound care as specified in Section 87631. This requirement was not met as evidenced by: According to the department’s review, there were no records that R1 received wound care for coccyx from Home Health and no records were found that facility staff repositioned R1 between 5/23/2020 and 5/30/2020 after facility staff found on 5/22/2020 that R1 sustained a quarter sized open area with surrounding redness on coccyx and it developed to an open bed sore on 5/31/2020. In addition, there was no evidence that the facility made attempts to follow-up on the request for home health services or medical assessment for R1’s coccyx during this period. However, home health continued in providing wound care to RI's right heel. On 6/2/2020, a new home health service for R1's coccyx commenced and it was revealed that R1 developed an unstageable pressure injury on coccyx. On 6/28/2020, Home health notes show R1’s pressure injury in coccyx was at Stage 3 and it progressed to Stage 4 on 7/12/2020. Based on interviews conducted with four out of eight staff (S1, S2, S4 & S8), R1 developed a pressure injury while in care. This poses an immediate health, safety and/or personal rights risk to residents in care.

Prohibited Health ConditionsPersons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: Stage 3 and 4 pressure injuries.This requirement is not met as evidenced by: Based on telephone interview, the facility is retaining resident R1, who was diagnosed with an unstageable pressure injury. The poses a potential Persona Rights risk to residents in care.

Administrator - Qualifications and DutiesThe administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)…Knowledge of the requirements for providing care and supervision ....Knowledge of and ability to conform to the applicable laws, rules and regulations........This requirement is not met as evidenced by: Based on interview, the administrator failed to adhere to Title 22 regulations and failed to timely request an exception for a prohibited health condition. This violation poses a potential health and safety to residents in care.

Maintenace & Operation8703 (a) 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: Based on observations and interviews conducted, Residents did not have hot water for a substantial amount of time and were informed they would have to use other bathrooms to shower. CCLD was not notified of the incident. This is a potential health and safety risk to clients in care.