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Inspection visit

Follow-up on corrections

DESERT HILLS MEMORY CARE CENTERLicense 3318807222 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

During Licensing Program Analyst (LPA) Crystal Colvin's investigation of complaint #18-AS-20220926152307, LPA Colvin observed the following violations of Title 22 Regulations which were addressed with Executive Director Shannon Wilkerson: In review of the Medication Administration Records (MARs) for resident (R1), LPA Colvin observed that there was not a statement or certification from R1's physician stating that either R1 could determine their need for PRN (as needed) medication, whether they could describe their symptoms, or whether they could not do any of these. The facility is required to have this statement for any resident which is prescribed a PRN medication, as the doctor may need to be consulted prior to any administration of medication, depending on the resident's ability to make their needs or symptoms known. Deficiency cited. Additionally, LPA Colvin observed that the facility was unable to administer R1's medication for Buspirone for over one month due to the facility being out of the medication. Facility staff did not ensure that R1 obtained this medication in a timely manner, which could have been done through taking R1 to an Urgent Care to have the medication re-prescribed while waiting for R1 to see their primary care physician (PCP). R1 resides in this locked facility and therefore in unable to leave to get their own medications refilled and is completely dependent on the facility staff to ensure their medication is available. Deficiency cited. Based on observations made by LPA Colvin, the facility was cited and deficiencies noted on LIC809D. An exit interview was conducted with Executive Director Shannon Wilkerson where a copy of this report, LIC809D, and appeal rights was provided.

Citations

3 citations 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)(1)Type A

    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.

  • 87465(b)Type B

    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.

  • 87465(a)(4)Type A

    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.

FAQ · About this visit

Common questions about this visit

What happened during the October 4, 2022 inspection of DESERT HILLS MEMORY CARE CENTER?

This was a other inspection of DESERT HILLS MEMORY CARE CENTER on October 4, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to DESERT HILLS MEMORY CARE CENTER on October 4, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall... provide for assistance in..."

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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