Lifestyle Home Care

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual... (2) This training shall be...(B) Importance and techniques of personal care... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply with section cited above by having S2 and S3 worked at the facility without the required initial/annual training which poses immediate health, safety, and personal rights risk to resident in care.

Record centrally stored prescriptions and refill data

87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications...(6) The licensee shall be responsible for assuring that a record... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply with section cited above by not documenting in R1's Medication Administration Record (MAR) the administration of Calmoseptine and Neosporin, the administration of glucose testing was not recorded in MAR and Ensure or Glucerna per prescription issued which poses immediate health, safety and personal rights risk to resident in care.

Allowing diabetic residents based on self-management ability

87628 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by allowing Staff #2 (S2) to perform blood glucose testing to Resident #1 (R1) which pose immediate health, safety and personal rights risks to residents in care.

Regular observation and documentation of resident changes

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional, and social functioning and that appropriate assistance is provided... This requirement is not met as evidenced by: Based on observations, interviews and record review, the Licensee did not comply with section cited above by not reporting to R1's physician and R1's responsible person the observed changes or deterioration of R1's physical health condition and by not ensuring that such changes are documented which poses an immediate health, safety, and personal rights risks to resident in care.

Right to sufficient care and qualified staff

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following…(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 met as evidenced by: Based on interviews & records review, it was found that Licensee did not ensure R1 received the care, supervision & services to meet their needs. On April 3, 2022, R1 was admitted to the hospital and was diagnosed with an unstageable pressure injury to their sacral. However, it was found that treatment and care for the injury was not being provided as needed. This violation of regulation posed an immediate risk to R1.