Vista Montana Senior Living

(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 personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. based on observations, interviews, and record review, in accordance with the California Code of Regulations, Title 22, see LIC809D—a violation concerning Personal Rights and Procedures for responding to incidents and complaints.

Additional Personal Rights of Residents in Privately Operated Facilities (a)In addition to the rights listed in Section 87468.1....(1)To have a reasonable level of personal privacy in accommodations.... This requirement was not being met as evidenced by: Based on observations and interviews, LPA found that residents were not accorded privacy while in care.

Based on observation, record review, the licensee did not comply with the section cited above in four out of ten personnel files which posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in four out of ten personnel records which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents who did not have a written agreement on file between the home health agency and the facility. This poses a potential health, safety and personal rights risk to persons 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...: (1) A written report shall be submitted to the licensing agency... within 7 days of the occurrence of any of the events specified in (A) through (D)... This requirement was not met, as evidenced by: Based on record review the licensee did not ensure a written report was submitted within 7 days regarding R1's elopment from the facility. This poses a potential threat to the health, safety and personal rights of the resident in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff members who did not have the required training. 2 staff members, S3 & S5, did not have proof of Dementia Care training. S2, S3, & S4 did not have Restricted Healthcare training. S2, S3, S4, & S5 did not have postural support training or the complete hours for hospice care training. This poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 1 staff members who did not have the required training. Initial medication training was not observed on file for S5. This poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents who did not have a current written record of care. The Appraisal/Needs and Services Plan for R2 was last completed on 02/27/2023. The Appraisal/Needs and Services Plan for R3 and R5 were last completed on 02/24/2023. This poses a potential health, safety or personal rights risk to persons in care.

87468.1Personal 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 is not met as evidenced by: R1 has made threats to physcially harm others, demean others by calling derogatory names and using racial slurs. This poses a potential health, safety and personal rights risk in care.

Additional Personal Rights of Residents in ...Facilities: (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 and are delivered by staff...to meet their needs. This requirement was not met by: Based on interview and record review, the Licensee did not comply with the above regulation with one resident. LPA Colvin observed that R1 went approx. 2 months in consistent denial of bathing and allowing care for rash. Staff did not seek additional means to get resident care. This was immedaite health risk to R1.

Based on interview and record review, the licensee did not comply with the section cited above with S1 not being associated to the facility. This is a zero tolerance regulation and poses an immediate health, safety or personal rights risk to persons in care. A civil penalty will be assessed in the amount of $500.

FIRE SAFETY: All facilities shall..conformity with..regulations..State Fire.. protection of life and..against fire...This requirement is not being met as evidenced by: Based on observation, LPA noticed several locked exterior doors. This is an immediate health and safety and personal rights risk to residents in care.

PERSONAL RIGHTS OF RESIDENTS IN ALL FACILITIES: (a) Residents... facilities..personal rights: (16) To receive.. This requirement was not met as evidenced by: Based on LPAs review of records, and interviews, Licensee did not adhere to the regulation. This presents a potential health and safety and personal rights risk to residents in care.