complaint·May 5, 2022

Citations

9 citations recorded^*CCLD

• 1569.312(e)Type B

  1569.312 Basic services requirements:(e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement is not met as evidenced by: Based on interviews conducted, Licensee did not ensure resident was observed, resulting in resident being left on a toilet for an extended period of time. This poses a potential health or safety risk to residents

• 87633Type B

  87633 Hospice Care of Terminally Ill Residents:(d) The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not follow a hospice care plan. This poses a potential health or safety risk to residents.

• 87211Type B

  87211 Reporting Requirements:(D) Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by: Based on records reviewed, Licensee did not report several resident falls resulting in injury. This poses a potential health, safety or personal rights risk to residents.

• 87411(a)Type A

  87411 Personnel Requirements - General:(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on records reviewed, interviews conducted, Licensee did not ensure sufficient staff were present to meet resident needs. This poses an immediate Health and Safety risk to residents.

• 87468.2Type A

  87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: (4) To care, supervision, and services that meet their individual needs...This requirement was not met as evidence by: Based on interviews conducted and records reviewed, facility did not provide assistance with showering, toileting and daily care. This poses an immediate health, safety and personal rights risk to residents.

• 87307Type B

  87307 Personal Accommodations and Services:(D) Hygiene items of general use such as soap and toilet paper. This requirement is not met as evidenced by: Based on observation, Licensee did not ensure disposable towels were in place in shared resident restrooms. This poses a potential health risk to residents.

• 87219Type B

  87219 Planned Activities:(a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. This requirement was not met as evidenced by: Based on interviews conducted, Activities are not conducted as scheduled or not conducted in a manner engaging to residents. This poses a potential health risk to residents in care.

• 87303(a)Type B

  87303 Maintenance and Operation:(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Based on observations, Memory care dining furniture was worn to the point that sanitation is not possible. This poses a potential health, safety or personal rights risk to residents.

• 87468.1(a)(3)Type A

  87468.1 Personal Rights of Residents in All Facilities:(3) To be free from punishment...or interfering with daily living functions such as...or elimination. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, staff placed adult diapers on a resident that was continent and failed to assist residents in a timely manner with toileting needs. This poses an immediate personal rights risk for residents.

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