Westhills Villa Gardens

87506(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident...this requirement is not met as evidenced by: The licensee did not comply with the section cited above by not retaining former resident's record file at the facility for review for a minimum of three years after services, which poses a potentional health, safety, and personal rights risk to persons in care.

Based on LPA file review, the licensee did not comply with the section cited above by the facility did not have a current emergency drill conducted with staff on file.which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observations, the licensee did not comply with the section cited above by having uncovered trash containers with tissue in residents bathrooms; which poses/posed a potential health, safety or personal rights risk to persons in care.

87211. 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. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met based on evidence by interview and document review. The licensee did not comply with the section cited above by not reporting an incident with a resident to state licensing within the required seven (7) day timeframe which poses a potential health, safety, or personal rights risk to persons in care.

87705.Care of Persons with Dementia.(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. This requirement was not met based on evidence by interview, observation, and document review. The licensee did not comply with the section cited above by not having safety measures in place to keep dementia resident with wandering behaviors safe which poses an immediate health, safety or personal rights risk to persons in care.