Bayshire Rancho Mirage

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Based on record review and interviews, R1 eloped at least once from the memory care unit which poses an immediate health and 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: (3) To be free from punishment, humiliation, intimidation, abuse...This requirement is not being met as evidenced by: S1 and S1 verbally abused R1 and was witnessed by W1 and W2.This poses a potential health and safety risk to the clients in care.

Personal Rights of Residents in All Facilities: (a) Residents in all RCFEs shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met, as evidenced by: Based on interview, the licensee did not ensure R1 was accorded dignity in their personal relationship with S1. It was reported S1 made a statement criticizing R1 for not wanting to talk with S1 and claiming to have had sexual interactions with R1's family member. It was also reported S1 argued with R1 & did not make attempts to de-escalate the resident.

REPORTING REQUIREMENTS: (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, & the local law enforcement agency within 24 hours as required by 15630(b)(1). This requirement was not met, as evidenced by: Based on interviews & text messages, the Licensee didn't ensure the suspected abuse of R1 was reported due to an internal investigation showing the alleged incident could not be corroborated.

Based on observation and interview the licensee did not comply with the section cited above in providing care and supervision during the LPA's unannounced annual visit. LPA witnessed resident # 1 (R1) outside in the sun making multiple attempts to get out of the sun and onto the walking path for an unknown amount of time which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in having staff member # 1 (S1) associated to work at this facility which poses an immediate health, safety or personal rights risk to persons in care.

Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition.. 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...This requirement was not being met as evidenced by: Based on staff interviews and record review, LPA determined that R1 did not have a plan to provide care for R1's oxygen to ensure that the oxygen did not run out. This poses an immediate health and safety and/or personal rights risk to residents in care.

Personal Rights- (a) Residents in residential care facilities for the elderly shall have personal rights...those listed in Sections 87468.1, Personal Rights... and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. This requirement was not met as evidenced by: Based on LPA interviews and record review, LPA determined that resident call button pushes had delayed responses from staff. This poses a potential personal rights risk to residents in care.

Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not being met as evidenced by: Based on LPA record review, Licensee did not inform R1's falls to both POA's as listed in R1's Admission Record per Title 22. This is a potential health and safety or personal rights violation.