Eskaton Village Roseville

87465(a)(4) Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self administered medications as needed. This requirements was not met by evidenced by: Medication was given incorrectly to resident in care. This poses a potential health and safety risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This regulation has not been met as evidenced by: Facility staff failed to ensure R2’s medication dosage was correctly documented resulting in R2 being administered the wrong dosage for 3 months which posses a potential health risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 9 out of 38 which poses/posed a potential health, safety or personal rights risk to persons in care.

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 was not met based on records of the incident of R1 AWOL from the facility memory care unit on 09/11/23. This posed a potential risk to the resident.

87463-Reappraisals-(a) The pre-admission appraisal shall be updated, in writing ....(3)(3) Any illness, injury, trauma, or change in the health care needs of the resident ....This requirement is not as evidence by…... Based on record review and interviews, it has been concluded that facility did not document a reappraisal for R1 once it was identified R1 was declining and sustained multiple falls within a 2 months period (May and June 2022) which poses immediate health and safety risks for residents in care.

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 as evidence by…. Based on record review and interviews, it has been concluded that facility did not provide proper care and supervision for R1 which resulted R1s fall and death on 06/06/22 which poses immediate health and safety risks for residents in care.

87466-Observation of the Resident- 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……. This requirement is not as evidence by…. Based on record review and interviews, it has been concluded that facility did not reassess R1 for unmet needs despite multiple falls incidents in May and June 2022 which poses immediate health and safety risks for residents in care.