Desert Hills Memory Care Center

87211 Reporting Requirements (a)Each licensee shall furnish... (2) Occurrences, such as epidemic outbreaks, ... shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate.This requirement is not met as evidence by: Based on document review licensee did not ensure outbreak based on Riverside Department of Public Health outlines was reported for R1,R2,R3 which poses a potential risk to the health, safety, or personal rights of the persons in care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidence by: Based on observation licensee did not ensure the facility was free of odors which poses a potential risk to the persons health, safety, or personal rights of the persons in care.

CRIMINAL RECORD CLEARANCE: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement was not met, as evidenced by: Based on records review and interviews, S1 does not have a California criminal record clearance. This violation poses an immediate threat to the residents in care.

INJECTIONS: (b)...the licensees who admit or retain residents who require injections shall be responsible for the following: (1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement was not met, as evidenced by: Based on interviews & records review, the Licensee didn't ensure staff who were appropriately skilled professionals administered injections to residents who required assistance. Staff interviews & MARs revealed staff who are not appro. skilled professionals were administering injections.

Basic Services: (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident ...with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications... This requirement was not met by: Based on observation, the Licensee did not comply with the above regulation with at least two residents. R1's medications had not been administered yet, 1.5 hours after med pass, and R2's medications were not administered the previous day. This is an immediate health risk to residents in care.

Incidental Medical and Dental Care: (b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. The Licensee did not comply with the above regulation with at least one resident (R1). LPA Colvin observed that R1 is prescribed multiple medications and no such statement regarding R1's ability to determine their need was present in file & staff confirmed as well. This is a potential health risk to R1.

Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall... provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange...for medical and dental care appropriate to the conditions and needs of residents. This was not met by: The Licensee did not comply with the above regulation with at least one resident. LPA Colvin observed that R1 ran out of a medication in early September 2022, and the facility did not ensure the medication was refilled and in the facility until October 2022. This was an immedaite health risk to R1.

Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall... 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 requirement was not met as evidenced by: Based on record review and interview, the Licensee did not comply with the above regulation with one resident. LPA Colvin observed that R1 was out of medication Busiprone for over one month and therefore, it was not administered to R1 by staff. This is an immediate health risk for R1.

Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met by: Based on observations, the Licensee did not comply with the above regulations with at least one aspect of the facility. LPA Colvin observed exposed wires on multiple walls in the facility, which appears to be due to missing faceplate for thermostat. This is a potential safety risk to residents in care.

Personal Rights of Residents in All Facilities: a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident. R1 has new behaviors since admission. Facility staff have not reassessed R1 or documented behaviors and staff inteventions. This is an immedaite safety risk to residents in care.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility. This requirement was not met as evidenced by: Licensee did not ensure S1 obtained a criminal record clearance prior to beginning working at facility. Based on record review and interview, S1 had been working at the facility since 10/20/2020. This poses an immediate health and safety risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours...This requirement was not met as evidenced by: Based on interviews with staff members and witnesses, it was confirmed that W1, an advocacy representative, was not permitted to visit R1 during reasonable hours. This is an immediate health and safety risk.