Town & Country

Basic services shall at a minimum include: Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance...This req is not met as evidenced by: Based on interviews conducted and record review, Licensee failed to ensure personal assistance with incontinence care was provided to R1 which poses an immediate health and safety risk to residents in care.

In addition to the rights.., residents shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient.. to meet their needs. This req is not met as evidenced by: Based on interviews conducted and record review, Licensee failed to ensure R1 was provided timely incontinence care. From 12/07-12/10/ 2025, there are six pendant calls with a response time over 30 minutes which poses an immediate health and safety risk to residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be accorded dignity in their personal relationships with staff, residents, and other persons. This req is not met as evidenced by: Based on record review and interviews conducted, Licensee failed to ensure residents are afforded dignity in care. S1 was rough with R1 and R2 which poses an immediate health and safety risk to residents in care. (video surveillance obtained).

Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This req is not met as evidenced by: Based on interviews conducted, Licensee failed to ensure basic services were provided to resident. R4 took seven of R3's medications once they were unsupervised by caregiver. This poses an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in three out of five residents without a physician order for bed rails which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in four out of five staff without CPR training which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in five out of five staff without required annual training which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed an exit door in need of repair which poses a potential health, safety or personal rights risk to persons in care. (photo).

Based on record review, the licensee did not comply with the section cited above. R2 does not have an updated medical assessment which poses a potential health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation (a) The facility shall be... in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidenced by: Based on observation accompanied by RSD Madugno, the walkie-talkie experienced a dealy in alert between 2-3mins when the two patio doors were opened which poses a potential Health and Safety risk to persons in care.

Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions.. which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This req is not met as evidenced by: Based on observation, License failed to ensure cleaning supplies were secured. This poses an immediate health and safety risk to residents in care.

Basic services shall at a minimum include: Personal assistance and care as needed by the resident..., with those activities of daily living such as.. assistance with taking prescribed medications.. This requirement is not met as evidenced by: Based on record review, Licensee failed to ensure residents were provided assistance with taking medication. Residents #1 and 2 missed multiple medications due to refills pending. This poses an immediate health and safety risk to residents in care.

Basic services shall at a minimum include:Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This req is not met as evidenced by: Based on interviews conducted and record review, Licensee failed to ensure care was provided to resident. Resident was served shrimp while resident's allergy was noted by facility. This poses a potential health and safety risk to residents in care.

Administrator Recertification Requirements. Whenever a certified administrator assumes or relinquishes responsibility for administering a residential care facility for the elderly, he or she shall provide written notice, within thirty (30) days, to: (1)The local licensing office...and (2) The Department's Administrator Certification Section (ACS). Based on LPA file review and interviews the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to all persons in care.

(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by Resident 1 was able to elope from the facility. This poses an immediate safety and health risk to persons in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require... (3) Fires or explosions which occur in or on the premises shall be reported immediately to the local fire authority…; and no later than the next working day to the licensing agency.This requirement was not met as evidenced by: Based on LPA’s review of the record and through S1’s admission, S1 did not report the fire to the Department within the next business day which poses a potential Health, Safety, and Personal Rights risk to persons in care.