California Mission Inn - Rose Manor

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Residents calls for assistance were not met in a timely due to staffing shortages.

Admission Agreements. The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. This requirement was not met evidenced by: Based on observation of file/record review, the facility failed to issue a new admission agreement and/or modify the original admission agreement when R1 moved to this facility from the sister facility in the same campus. There is no record of changes in the rent fees.

Admission Agreements. The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement was not met evidenced by: Based on record review the findings indicate R1 was overcharged for months March 2020 and April 2020, after moving to this facility from Massey Hall. The resident continued to be billed and paid for care fees that it was no longer receiving.

Based on observation and record review, the licensee did not comply with the section cited above in that medication errors were observed for residents (R1- R4). Resident (R1 & R2) had medications in the room, but per Physician's Report they are not able to administer medications. Resident (R3) was missing Melatonin tablet 10mg. Resident (R4) was observed to have medication Aquaphor ointment in the room; however per physician report cannot administer own medications.] which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above in that signs are not posted throughout facility to promote handwashing, cough/sneeze etiquette, and physical distancing. The public bathrooms, resident bathrooms, and common area hallways did not have COVID-19 infection control signs. 15 out of 29 resident rooms inspected did not have either hand sanitizer or hand soap in the rooms. In addition, the latest Provider Information Notice (PIN) 21-44 was not posted where persons in care can easily access it and distribute the PIN Summary for Persons in Care which poses an immediate health, safety or personal rights risk to persons in care.