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Inspection visit

Complaint

MERCED SENIOR LIVINGLicense 2472069215 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Continued.. Regarding the allegation Due to staff neglect, resident missed medications. LPA Hurt reviewed Centrally Stored Medication Logs, and Medication Administration Record for facility Resident 1. The Centrally Stored log lists several medications to be given daily to Resident 1. The MAR documents Resident 1 was not given most medications from 01/08/2024 to 01/18/2024. Based on records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED Regarding the allegation Staff are not following residents care plan. LPA Hurt reviewed facility records titled “Needs and Services Plan” for facility Resident 1. The Needs and Services Plan documents Resident 1 needs transfer assistance. Resident 1 was waiting over an hour after pushing his pendant for staff to assist with transfer. Based on records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED Regarding the allegation Due to neglect, resident has fallen multiple times. Resident 1 was not assisted timely by facility staff when attempting to transfer resulting in multiple falls. Facility staff did state they attempt to assist all residents when they call for assistance, but they are short staffed and residents are unfortunately having long wait times while they assist other residents. Based on interviews conducted, and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED Regarding the allegation Authorized representative has not received a copy of the care plan. LPA Hurt reviewed records titled “Resident assessment” for facility Resident 1. This document was not signed by Resident 1 or their Responsible party. LPA Hurt interviewed Resident 1’s Responsible Party who stated they requested and were never provided a copy of the “Resident Assessment.” Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED Exit interview conducted with Administrator Emily Venegas, and a copy of this report provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    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. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. The following requirement has ot been met as evidenced by: Resident 1's wait time for assistance when pushing his pendant was at times more than 60 minutes, which poses an immediate health, safety, or personal rights risk to residents in care.

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  • 87457(a)(3)Type B

    87457 Pre-Admission Appraisal - General (a) Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions(3) The prospective resident, or his/her responsible person, if any, shall be involved in the development of the appraisal.The following requirement has not been met as evidenced by: Resident 1's Responsible Party was not provided and did not sign Resident Assesment or Needs and Services plan, which poses a potential, health, safety, or personal rights risk to residents in care.

  • 87464(d)Type B

    Acceptance obligations tied to pre-admission appraisal needs

    87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. The following requirement has not been met evidenced by: Resident 1 was not correctly assisted with medications or transfers as listed on pre admission, which poses a potential, health, safety or personal rights risk to residents in care.

  • 87465(a)Type A

    Develop required incidental medical care plan

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. The following requirement has not been met as evidenced by: Resident 1 was not provided medications listed on medication list, which poses an immediate health, safety, or personal rights risk to residents in care.

  • 87468.2(a)(4)Type B

    Right to sufficient care and qualified staff

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly 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.The following requirement has not been met as evidenced by: Resident 1 was not assisted by staff with transfers resulting in several falls, which poses a potential , health, safety, or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 20, 2024 inspection of MERCED SENIOR LIVING?

This was a complaint inspection of MERCED SENIOR LIVING on March 20, 2024. 5 citations were issued: 2 Type A (serious) and 3 Type B.

Were any citations issued to MERCED SENIOR LIVING on March 20, 2024?

Yes, 5 citations were issued (2 Type A, 3 Type B). The first citation was for: "87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.