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Inspection visit

complaint

GRACE RETIREMENT VILLAGELicense 306090049
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

CONTINUED FROM FORM LIC9099 During today's visit, LPA requested to obtain the facility's current census. A tour of the physical plant and unit assigned to resident R1 was additionally conducted. Regarding the allegation that Facility did not respond to resident's call for help in a timely manner, the following has been concluded: In the early hours of January 18, 2023, resident R1 suffered a fall incident in his bedroom at the facility. The fall occurred in the interval between two rounds being conducted, between the hours of 1:40am and 5:00am as certified in the log maintained by staff to document resident checks by the overnight staff. The exact time of occurrence could not be assessed from the evidence gathered. Resident R1 was found by staff member S1 and assisted back into bed. Later that day, resident kept displaying signs of pain, which led to 911 being called. Resident R1 was assessed at the facility and transported to the Emergency Department at UCI Hospital before being released to a Skilled Nursing Facility with a diagnosis of a compression fracture of the seventh thoracic vertebra. At the time of the present visit, the resident is stated to have been admitted back into the facility and appears to be doing well. The evidence gathered did not allow to make a precise determination of the time interval between the fall and assistance being provided to the resident. As a result, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of this report was provided and left to facility representative.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)(1)(B)Type B

    The California Code of Regulations Section 87211(a)(1)(B) on Reporting Requirements states that: "A written report shall be submitted (...) within seven days (...) [for] Any serious injury (...) occurring while the resident is under facility supervision." This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, it was determined that licensee failed to submit an incident report prior to the facility inspection on 01/28/2023. This constitutes a potential risk to the health, safety and personal rights of individuals in care.

  • 87608(a)(3)Type B

    The California Code of Regulations Section 87608(a)(3) states that: "A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record." This requirement is not met as evidenced by: Based on records reviewed, observation conducted and interviews, it was determined that half bed rails were in place without a physician report at the time of the fall incident on 01/18/2023. This constitutes a potential risk to the health, safety and personal rights of individuals in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 12, 2023 inspection of GRACE RETIREMENT VILLAGE?

This was a complaint inspection of GRACE RETIREMENT VILLAGE on April 12, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to GRACE RETIREMENT VILLAGE on April 12, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.