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Inspection visit

Incident investigation

ESKATON VILLAGE ROSEVILLELicense 3150020521 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 1/17/2025, Licensed Program Analyst (LPA) Cassandra Mikkelson and Licensed Program Manager (LPM) Laura Munoz arrived at the facility to conduct a case management visit regarding two (2) LIC 624 reports sent to CCL. The facility sent the department an LIC 624 on 01/07/2025 which stated that R1 was sent to the hospital on 12/30/2024 for shortness of breath. Family contacted the facility on 01/06/2025 to report R1 passed away due to pneumonia. A review of R1's LIC602/physician's report indicated R1 had a diagnosis of COPD and respiratory failure. R1's needs and service plan and physician orders indicated R1 was on oxygen at bedtime. Staff indicated R1 would be seen walking around the facility with their oxygen regularly. Based on the documentation reviewed and interviews conducted, no further follow up is needed at this time. The facility sent the department an LIC 624 on 01/03/2025 which stated that resident R2 was given the wrong dose of Omeprazole. LPA and LPM spoke with Tricia Diaz, LVN RCC, she stated that R2 was originally taking medication two times daily but their physician changed the order to one time daily in October 2024. Per Ms. Diaz facility received order but did not update in their Medication Administration Records (MAR). Medication error was found while attempting to refill medication in December 2024. Facility staff confirmed that R2 was administered the wrong dosage of Omeprazole for approximately three (3) months. Deficiency is being cited on LIC809-D. Failure to correct plan of correction could result in assessed civil penalties. Exit Interview and appeal rights provided.

Citations

1 citation 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.

  • 87465(a)(4)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the January 17, 2025 inspection of ESKATON VILLAGE ROSEVILLE?

This was a other inspection of ESKATON VILLAGE ROSEVILLE on January 17, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to ESKATON VILLAGE ROSEVILLE on January 17, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each fa..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.