Fullerton Villa

Based on observation, interview and record reviews, the licensee did not comply with the section cited above in that medication is being pre-poured from original container more than 24 hours in advance (3 days) which poses an immediate health, safety or personal rights risk to persons in care.

“Care and supervision” means the facility assumes responsibility for, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement is not met as evidence by:Based on information gathered, the facility did not assume responsibility for Resident’s wandering behavior, resulting in elopement from the facility, which poses an immediate safety risk to persons in care.

Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports... (2) Occurrences, such as epidemic outbreaks,...or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours... to the licensing agency and to the local health officer when appropriate. This requirement is not being met as evidenced by the outbreak of scabies in 2020. The outbreak was confirmed by staff and a resident. After reviewing incident reports submitted to the Regional Office it was discovered the scabies outbreak was not reported as required.

87446 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs…and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement was not met as evidenced by: Based on LPA's interviews and record review, two out of the two staff confirmed not seeking medical attention in a timely manner due to discovering the x-ray results 9 days later which poses an immediate Health, Safety, and Personal Rights risk to persons in care.

87705 Care of Persons with Dementia (b) In addition to the requirements as specified in…the plan of operation shall address the needs of residents with dementia, including: (1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator… when a resident’s behavior or condition changes.This requirement was not met as evidenced by: Based on LPA’s interviews and record review, two out of two staff made an admission that the authorized representative was notified 9 days after receiving the x-ray result which poses a potential Personal Rights risk to persons in care.