Mountain View Assisted Living

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure medication was given as ordered. This poses an Immediate Safety, Health or Personal Rights risk to persons in care. ***This is a repeat violation in a 12 month period. An immediate civil penalty is being issued in the amount of $250.***

87705 Care of Persons with Dementia:(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure staff were aware when resident left the building without assistance. This poses an immediate Health, Safety or Personal Rights risk to persons in care.

87211 Reporting Requirements:(a)(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 requirement is not met as evidenced by: Based on records reviewed Licensee did not submit written reports regarding residents who required emergency medical care. This poses a potential Health, Safety or Personal rights risk to persons in care.

87555 General Food Service Requirements:(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on records reviewed, R2 has an order for a low acid diet that the kitchen did not have record of. This poses a potential Safety, Health or Personal Rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 5 staff records. Records did not contain evidence of completed staff training which poses/posed a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, staff did not assist residents with medication as ordered by physician, which poses an Immediate Health, Safety or Personal Rights risk to persons in care.

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 and interviews conducted, Licensee did not ensure there was adequate staff to meet resident needs. This poses a potential Health, Safety or Personal Rights risk to persons in care.

87219 Planned Activities:(f) In facilities licensed for fifty (50) persons or more, one staff member shall have full-time responsibility to organize, conduct and evaluate planned activities, and shall be given such staff assistance as necessary in order for all residents to partiacipate in accordance with their interests and abilities. This requirement is not met as evidenced by: Based on observation and records reviewed, Activities are cancelled or not conducted on a regular basis, which poses a potential Health, Safety or personal rights risk to persons in care.

1569.15 License application; information required; change of information; penalties:(d) The information required by this section shall be provided to the department upon initial application for licensure, and any change in the information shall be provided to the department within 30 calendar days of that change unless a shorter timeframe is required by the department. This requirement is not met as evidenced by: Based on records reviewed, Licensee did not notify the Department of a management change. This poses a potential Health, Safety or Personal rights risk to persons in care.

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed, Licensee did not ensure resident received the proper dose of medication as ordered. This poses an immediate Health risk to residents in care.

1569.269 Enumerated rights; severability:(6) 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 is not met as evidenced by: Based on records reviewed Licensee did not ensure resident received the services to meet their needs, due to staff refusing to assist. This poses an Immediate Health, Safety or Personal Rights risk to residents in care.

87705 Care of Persons with Dementia:(5) Facility staff shall ensure the continued safety of residents if they wander away from the facility without violating Sections 87468.1, Personal Rights of Residents in All Facilities and Section 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities. This requirement is not met as evidenced by: Based on records reviewed, Licensee did not ensure the continued safety of resident. Resident left facility without staff knowledge or assistance. This poses an immediate Safety risk for residents in care.

Based on record review, the licensee did not comply with the section cited above. Facility could not produce documentation of completed annual staff training. This poses/posed a potential health, safety or personal rights risk to persons in care.

§1569.157 Resident-oriented facility council:(c)If a resident council submits written concerns or recommendations, the facility shall respond in writing regarding any action or inaction taken in response to those concerns or recommendations within 14 calendar days. This requirement is not met as evidenced by: Based on interviews conducted, Director did not respond in writing per regulation.

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, Licensee did not ensure sufficient staffing to meet resident needs. This poses an Immediate Health, Safety or Personal Rights risk to residents in care.

87208 Plan of Operation:(a)Each facility shall have and maintain a current, written definitive plan of operation. This requirement is not met as evidenced by: Based on records reviewed, Resident Handbook states the pendants are for use in an emergency. Response times for 171 calls were longer than 20 minutes. This poses a potential Health, Safety or Personal Rights risk to residents in care.

87555 General Food Service Requirements:(18)Sufficient food service personnel shall be employed, trained and their working hours scheduled to meet the needs of residents. This requirement is not met as evidenced by: Based on observation, facility does not have sufficient food service personnel to meet the needs of residents. This poses a potential health, safety or personal rights risk to residents.

87412 Personnel Records:(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Based on records reviewed, Licensee did not ensure staff records contained verification of required staff training. This poses a potential health, safety or personal rights risk to residents in care.

§1569.157 Resident-oriented facility council:(c)If a resident council submits written concerns or recommendations, the facility shall respond in writing regarding any action or inaction taken in response to those concerns or recommendations within 14 calendar days. This requirement is not met as evidenced by: Based on interviews conducted, Director did not respond in writing per regulation.

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.

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.

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 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.

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

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.

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 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 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.

87465 Incidental Medical and Dental Care:The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirment is not as evidence by: Based on interviews conducted, Licensee did not ensure R1 received appropriate medical care as ordered, for a wound. This poses an immediate health risk to residents in care.

87219 Planned Activities:Residents served shall be encouraged to contribute to the planning, preparation, conduct, clean-up and critique of the planned activities. This requirement is not met as evidenced by: Based on interviews conducted, Licensee did not ensure residents feedback of activities was encouraged. This poses a potential personal rights risk to residents in care.

87465(a)(5)The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: Based on record review and interviews conducted, Licensee did not ensure R1 was assisted appropriately with medications. R1 was given medication prescribed to a different resident. This poses an immediate Health risk to residents in care.