Brunswick Village

Personnel Requirements - General. All personnel shall be given on the job training or have related experience in the job assigned to them. This requirement not met as evidence by the facility based on review of training logs the staff didn't have training prior to taking care of residents with colostomy bag and catheter which poses a potential health and safety risk to resident in care.

Admission Agreement. The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications.This requirement was not met as evidenced by: Based on resident file records review, Licensee did modified the date of raising the annual fee without having a written agreement to it which poses a potential health and safety risk to resident in care.

Reporting Requirements Occurrences, such as epidemic outbreaks.. shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement not met as evidence by the facility failing to notify CCL and Nevada County Public Health of 7 residents with similar symptoms as a suspected outbreak.

87465 Incidental Medical and Dental (c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on medication records review, Licensee did not maintain 1 of 1 resident's PRN pain medication on order which poses a potential health and safety risk to resident in care.

87468.1 Personal Rights in All Facilities (a)(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by: Based on statements, incident reports, and facility procedures obtained, Licensee notify the responsible party of 1 of 1 resident per facility Fall Response Procedure which poses a potential health and safety risk for resident in care.