Santa Mariana Care

Based on observation, the licensee did not comply with the section cited above in two out of three bathroom faucets, which poses an immediate healthy and safety risk to persons in care. LPA observed water temperatures between 129.0 and 130.4 degrees F in bathrooms used by residents in care.

Based on record review, the licensee did not comply with the section cited above, which poses a potential health and safety risk to persons in care. LPA observed three out of four personnel files missing annual staff training on postural supports, restricted health conditions, demntia, and hospice care.

Based on record review and interview, the licensee did not comply with the section cited above, which poses a potential health, safety and personal rights risk to persons in care. Based on record review, LPA observed that Resident #1, Resident #2, Resident #3, and Resident #4 do not have Initial and Annual Appraisals/Needs and Services plans.

Based on observation, the licensee did not comply with the section cited above in four out of four stove burners, which poses a potential health and safety risk to residents in care. During this visit, LPA observed all burners on the stovetop were not operational and a lighter was being used to start the burners.

Based on observation, interview and tecord review of Resident 6's bedroom area, the licensee did not comply with the section cited above. LPA Quiroz observed medication but not limited to peptobismol, antiacid tablets, Nyquil and fluticasone prescribed spray, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation conducted during facility inspection of kitchen area and interviews conducted with (CG1), (CG2) and (HM), the licensee did not comply with the section cited above. While inspecting kitchen area, LPA observed expired food items which poses a potential health, safety or personal rights risk to persons in care.

87458 Medical Assessment(a)Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year...This requirement was not met as evidenced by: R1 does not have a physian report CONTINUED on filed. This was verified with Administrator Assistant Karmian Galang who indicated "Have been having trouble getting it from VA Hospital." This poses a potential risk for residents in care.