Aegis Assisted Living of Napa

Document required significant condition changes

Reappraisals 87463(b)The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition....This requirement is not met as evidenced by:Based on records reviewed and interviews conducted, Licensee did not ensure that R1's appraisal needs and services plan was followed or that a reappraisal was completed prior to implementing new services. This poses a potential Health, Safety and/or Personal Rights risk to residents in care.

Assist residents with self-administered medication

Based on record review, the licensee did not comply with the section cited above. Facility did not provide medication as ordered on 05/18/2024 and 06/11/2024, which poses an immediate health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. ...(4)The licensee shall assist residents with self-administered medications as needed.This requirement was not as evidenced by: Based on record review, the licensee did not comply with the section cited above by not ensuring that the medications were given as prescribed.

Assist residents with self-administered medication

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 medication as prescribed by Physician. This poses an immediate Health and Safety risk to residents in care.

Assist residents with self-administered medication

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 correct medication as prescribed by Physician. This poses an immediate Health and Safety risk to residents in care.

1569.312(d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. Based on review of incident report and interview with Administrator, this requirement has not been met as evidence by: Facility reported that R1 left facility unassisted. LPA gathered statements and documents from Administrator. R1's Physician Report states that R1 cannot leave facility unattended. This is a potential risk to the health and safety of residents in care.**Civil Penalty assessed in the total amount of $250.00

1569.312(d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. Based on review of incident report and interview with Administrator, this requirement has not been met as evidence by: Facility reported that R1 left facility unassisted. LPA's gathered statements and documents from Administrator and Wellness Nurse. R1's Physician Report states that R1 cannot leave facility unattended. This is a potential risk to the health and safety of residents in care.

Facility personnel sufficiency and competence

87411(a) Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on LPA record review, and interview, Licensee did not provide supervision to R1 on two occasions. The absence of supervision is an immediate risk to the Health, Safety and Personal Rights of residents in care. ***A Civil Penalty of $500.00 is being assessed.