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Inspection visit

complaint

PALM COURT ASSISTED LIVINGLicense 3364033661 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

From 6/8/22 until 7/1/22, R1's file contains no less than 10 staff notes of R1 being physically violent with both staff and residents. Interviews and notes additionally show that residents were in fear of R1, which would prevent them from moving about the facility freely, as R1 would verbally and physically attack residents without provocation. Therefore, based on record review and interview, the allegation "Facility did not provide a safe environment for resident's in care." is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. Due to observations made by LPA Colvin, the facility was cited and deficiencies noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy this report, LIC 9099D, and appeal rights were provided to Administrator Patrick Mcadoo Morton during the exit interview. ****Due to technical issues, reports were signed with ink signatures after they were printed. Facility maintains original copy while LPA maintains a photocopy of the report.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87468.1(a)(2)Type A

    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.

  • 87211(a)(1)(D)Type A

    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.

  • 87463(c)Type B

    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.

  • 87465(a)(5)(D)Type A

    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.

  • 87468.2(a)(4)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the July 14, 2022 inspection of PALM COURT ASSISTED LIVING?

This was a complaint inspection of PALM COURT ASSISTED LIVING on July 14, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to PALM COURT ASSISTED LIVING on July 14, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall h..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.