Citrus Place

Personal rights of residents in all facilities

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:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. evidenced by: Based on observation and interviews conducted with staff and witnesses, the staff did not ensure R1 was afforded dignity when they were hit on the hand by R1 while in care which poses a potential health, safety, and personal rights risk to residents in care.

Assist residents with self-administered medication

(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 requirement was not met as evidenced by: Based on interviews and records reviewed, a complaint investigation revealed facility staff mismanaged R1's medication resulting in their hospitalization. This poses a potential health, safety, or personal rights risk to residents in care.

Care and supervision as defined by statute and rules

(f)Basic services shall at a minimum include: (1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not being met as evidenced by; Photographic evidence was provided showing R1 with facial hair and untrimmed nails. This poses an immediate health and safety risk to residents in care.

Protection from punishment and intimidation

Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature...This req is not met as evidenced by: Based on interviews conducted, Licensee failed to ensure residents are free from humiliation and intimidation. S1 covered the resident's mouth and told the resident to "Shut up." This poses an immediate health and safety risk to residents in care.

The initial personal property inventory shall be completed by the licensee, and the resident, or the resident’s representative. This requirement is not being met as evidenced by; A file review for R1 shows R1 did not have a property inventory list, which poses a potential health and safety risk to residents in care.

Residents in all facilities must have rights

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This req is not being met as evidenced by: Based on interviews conducted, Licensee failed to ensure residents were afforded dignity. Facility staff had two different altercations with themselves. This poses a potential health and safety risk to residents in care.

Personal assistance and care for required daily activities

Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing.. and assistance with taking prescribed medications. This req is not being met as evidenced by: Based on record review and interviews conducted, Licensee failed to ensure resident was assisted with medication administration. Resident missed five doses of medications as they were not refilled. This poses an immediate health and safety risk to residents in care.

Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by; R1 lost a tooth and the responsible party was not notified. This poses a potenational health and safety risk to residents in care.

Maintain facility in clean, safe, sanitary condition

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 req is not being met as evidenced by: Based on interviews conducted and record review, the Licensee failed to ensure facility was safe and in good repair. Facility had an ongoing issue with ceiling leaks in R1's room. This poses a potential health and safety risk to residents in care.

Facility maintenance and healthful environment

The following space and safety provisions shall apply to all facilities:The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This req is not being met as evidenced by: Based on record review and interviews conducted, Licensee failed to ensure R1's room was safe and healthful. Facility documentation indicates an issue with water being inside the light sockets in R1's room. This poses a potential health and safety risk to residents in care.

Safe, healthful, comfortable accommodations

Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This req is not being met as evidenced by: Based on observation, interviews conducted and record review, Licensee failed to ensure R1 was provided safe and healthful accommodations. R1 remained in the resident's room while a substantial repair was being done.