Palm Court Assisted Living

Eviction Procedures. (b) The licensee may, upon obtaining prior written approval from the licensing agency...The licensing agency may grant approval for the eviction upon a finding of good cause.This requirement was not met as evidenced by: Based on records review and staff interview, the licensee issued the eviction notice to the resident's responsible person without the Department's approval. This posed potential heath, safety or personal rights risk to the resident in care.

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.(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This deficiency is evidenced by the following:R1 and R2 were video recorded by S1 having intercourse without their knowledge or consent.This poses a health and safety risk to clients in care.

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:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This deficiency is evidenced by the following:R1 was left in a non-working motorized wheelchair in room unable to call for assistance by S1.This poses a health and safety risk to clients in care.

Health and Safety Code(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice to the residents Based on record reviews and staff interviews, staff did not provide notice to residents of rent increase. This posed a potential health and safety or personal rights risk to residents in care.

87355 Criminal Record Clearance(b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. This requirement is not met as evidenced by: Based on observation, and interview the licensee did not ensure that Maria A. was associated to the facility prior to beginning their employment. This poses an immediate healthy, safety and personal rights risk to persons in care.

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 residents, the Licensee did not ensure R1 was afforded dignity when they were hit by R2 while in care which poses a potential health, safety, and personal rights risk to residents in care.

Additional Personal Rights of Residents in ...Facilities: (a) In addition to the rights listed ...residents in...facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the above regulation with one resident (R1). On 4/4/22, R1 was able to exit the facility without staff's knowledge. Staff did not check on R1 from 12:16pm to 2:54pm. R1 was a known exit-seeker. This was an immedaite safety risk R1.

Reporting Requirements: (a) Each licensee shall furnish.. reports...including...: (1) A written report shall be submitted...within seven days of the occurrence of any of the events specified...(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met as evidenced by: Based on record review, the Licensee did not comply with the above regulation with multiple incidents. LPA Colvin observed that R1 was physically violent with other residents multiple times from 6/12/22 - 7/1/22 with only one report (7/1/22) being sent to Licensing. This was an immediate safey risk for all residents.

Additional Personal Rights of Residents...: (a) In addition to the rights listed ...residents...shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs.... This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulations for multiple residents. R1 was reported to have been violent with multiple residents, but the facility failed to document this in the other residents' file. This was a potential personal rights violation of residents.

Reappraisals: (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff...when there is significant change in the resident’s condition.... This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident. R1 was observed to have a significant change in condition (behavioral) in June 2022, but the facility did not conduct a reappraisal of R1's needs. This was a potential safety risk for R1.

Incidental Medical and Dental Care: (a) A plan...provide for assistance in obtaining such care...:(5) Facility staff ...may assist persons...as needed. Assistance...shall be limited to ...: (D) Assistance...does not include...hiding or camouflaging medications...without the resident's knowledge and consent... This requirement was not met by: Based on interviews conducted, the Licensee did not comply with the regulation with one resident. Staff administered R1's medication without R1's knowledge by putting it in R1's morning juice due to R1 refusing medication. This was an immediate personal rights violation of R1.

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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on record review and interview, the Licensee did not comply with the above regulation with at least one aspect of the facility. R1 was physically and verbally aggressive with multiple residents for nearly 2 months prior to the facility having R1 removed. This was an immediate safety risk to residents.

Admission Agreements: The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement was not met as evidenced by: Based on records review the facility failed to comply with admissions agreement and could not provide proof of signed agreement for temporary rate. This poses a potential risk to residents in care.

Increase in fee rates for elderly residents...: (a)If a licensee of a residential care facility for the elderly increases the rates... the licensee shall provide no less than 60 days' prior written notice to the residents...This requirement was not bet as evidenced by: Based on interview with administrator, the facility failed to provide a 60 notice prior to rate increase being charged. This poses a potential risk to residents in care.