Loomis Home Care

87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained . . . This requirement was not met as evidenced by no centrally stored records for R1-R6. This poses a direct threat to the health and safety of residents in care.

87465 Incidental Medical and Dental Care(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file . . . This requirement was not met as evidenced by R1-R6 not having signed orders for all medications. This poses a direct threat to the health and safety of residents in care.

87463 Reappraisals(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first . . . This requirement was not met as evidenced by R5 and R6 not having reappraisals completed within the last 12 months. This poses an indirect threat to the health and safety of residents in care.

87468.2 Additional Personal Rights . . .(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents . . . shall have all of the following personal rights: (8) To be free from neglect, financial exploitation . . . This requirement was not met as evidenced by the Licensee using R1's credit card in unauthorized charges. This poses a direct threat to the health and safety of residents in care.

87468 Personal Rights(b) At the time the admission agreement is signed . . .(1) The personal rights of residents (A) The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record. This requirement was not met as evidenced by no signed LIC613-C in R1-R6 facility files. This poses an indirect threat to the health and safety of residents in care.

87457 Pre-Admission Appraisal(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs . .this requirement was not met as evidenced by no completed preadmission appraisals for R1-R5. This poses an indirect threat to the health and safety of residents in care.

87507 Admission Agreements(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, . . .no later than seven days following admission. This requirement was not met as evidenced by R1 and R2 not having signed admission agreements in their resident records. This poses an indirect threat to the health and safety of residents in care.

87224 Eviction Procedures(a) The licensee may evict a resident for . . .Thirty (30) days written notice to the resident is required (4) If, after admission, it is determined that the resident has a need not previously identified . . . This requirement was not met as evidenced by R1 not being allowed to return to the facility, from the hospital, due to behaviors. This poses an indirect threat to the health and safety to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities . . . (1) To be accorded dignity in their personal relationships with staff. . .This requirement was not met as evidenced by interview with the Administrator. This poses an indirect threat to the health and safety of residents in care.

87219 Planned Activities. (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include:(4) Physical activities such as games, sports and exercise which develop and maintain strength, coordination and range of motion. This requirement is not met as evidenced by: Based on interview statements from residents in care and Licensee. No physical activities are provided to residents in care.