Follow-up on corrections·December 16, 2022

Citations

4 citations recorded^*CCLD

• 87464(f)(4)Type B

  Personal assistance and care for required daily activities

  87464(f)(4)-Basic Services:(f) Basic services shall at a minimum include:(4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by:Based off document reviews of the Level of Care plan, the document indicated that the resident will be receiving regular bathes via two staff members and not sponge bathes. This regulation is a potential health, safety and personal rights risk to resident(s) in care.

• 87463(a)(b)(c)Type B

  87463(a)-Reappraisals:The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to:(b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person.(c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement was not met as evidenced by:Based off of document reviews, there was no reappraisal completed for Resident #1 which presents a potential health, safety and personal rights risk to residents in care.

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• 87506(a)(15)Type B

  87506(a)-Record Keeping:The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal.Based off of document reviews, the facility did not retain a copy of the Admission Agreement in the file which presents a potential health, safety and personal rights risk to residents in care.

• 87211(b)Type A

  87211(b)-Reporting Requirements:(b) Any suspected physical abuse that results in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within two (2) hours as required by Welfare and Institutions Code Section 15630(b)(1). This requirement was not as evidenced by:Based off of interviews and a review of the SOC 341, the SUSPECTED elder abuse was not properly reported via an incident report or a SOC 341. This is an immeidate health, safety and personal rights risk to residents in care.