The Terraces of Roseville

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medication count and records reviewed, the facility did not ensure that 2 of 3 residents were receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

Maintain and operate facility under definitive plan

87208 Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. (…) This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that 1 of 3 staff administering medications were receiving training in accordance with the facility's Plan of Operation, which poses a potential health, safety, and personal rights risk to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that a resident was receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

Care and supervision as defined by statute and rules

87464 Basic Services (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 is not met as evidenced by: Based on records reviewed and interviews conducted, the facility did not ensure that resident R1 was properly supervised, resulting in AWOL, which poses an immediate health, safety, and personal rights risk to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, the facility did not ensure to contact 9-1-1 timely after observing R1 AWOL from the facility, which poses an immediate health, safety, and personal rights risk to residents in care.

Facility personnel sufficiency and competence

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based interviews conducted and records reviewed, the facility did not ensure call buttons for residents were responded to in a timely manner, resulting in response times reaching as long as 107 minutes, which poses a potential health, safety, and personal rights risk to residents in care.

Maintain cleanliness and prevent incontinence odors

Managed incontinence 87625 (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This was not met as evidenced by: Based on interviews, facility failed to ensure R5 were not kept clean and dry. This poses an immediate health, safety, and or personal rights risk to resident in care.

Facility personnel sufficiency and competence

Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. This requirement is not met based on records and statements that found delays and, at times, delayed or missed ADLs and delayed or missed meal due to insufficient staff. This posed an immediate risk to residents health and safety.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of occurrence... (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidence by: Based on interviews and records reviews Administrator was unable to provide proof of facility's communications with R1's RP and PCP.