Revival Senior Living, Llc

Based on record review, the licensee did not comply with the section cited above in 1 out of 2 staff files reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation], the licensee did not comply with the section cited above in that there was no discontinue order on file which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 occuried resident rooms, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in storing previous resident medications which poses/posed a potential health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities . . . (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by absence of staff on 3/18/2026. This poses a direct threat to the health and safety of residents in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 2 staff records reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.

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

87457(c)(2) If an initial appraisal or any reappraisal identifies an individual resident service need which is not being met by the general program of facility services, advice shall then be obtained from a physician, social worker, or other appropriate consultant to determine if the needs can be met by the facility.This requirement was not met as evidence by: Based on interview and record review, the facility did not develop and maintain a documented plan of care addressing R1’s diabetes management and related medical needs, despite identifying diabetic management as a service provided which poses a potential health and safety risk to residents in care.

87555 General Food Service Requirements (b)The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on LPA interviews and records review it was determined that The facility failed to provide and document a physician-prescribed modified diet and failed to maintain records demonstrating monitoring of R1’s diabetic condition which poses a potential health and safety risk to residents in care.