Office review·February 14, 2024

An informal conference was conducted on Wednesday February 14, 2024, in the Sacramento North Regional Office. The purpose of this informal conference meeting is to discuss the high volume of complaints/ inability to remain in substantial compliance with the regulations/or specific incidents that has occurred in the last 12 months. Present in the meeting is Licensing Program Manager (LPM) Maribeth Senty, Licensing Program Analyst (LPA) Melissa Parks, Owner Rick Beasley, Regional Manager Sabrina Boyle and Administrator Mark Morris. The informal conference process was explained during this meeting. The facility has been cited 13 times in the last year. The facility was cited under the following regulations: Care of persons with Dementia, not having a skilled professional administer injections, observation of resident, monitoring the activities of residents, personal rights, medication mismanagement, not following PRN directives, and insufficient staffing. The facility was cited for 9 Type A citations, and 4 Type B citations. The licensee was told that this Informal conference is a part of the Administrative Action process and that further citations may result in an elevation to a formal non-compliance conference, which could lead to a referral to the Department's legal division for possible revocation of license. Issues discussed during the meeting were: · Current open complaints (3) · Adequate staffing · Nursing Schedule · PRN medication · Medication Administration The facility has stated they will do the following to achieve continued and substantial compliance: Reassessing residents after falls, updating care plans, care conference with POAs if resident requires higher level of care or 1:1 supervision Staffing based on acuity, reassessments every 3-6 months or as needed Nursing sign-in book, utilizing on-call nurses if needed Reviewing PRN authorization forms for all residents Reviewing MARs to ensure they match doctors orders No deficiencies were cited during today’s meeting. An exit interview was conducted. A copy of this report was provided.