Brookdale Corona

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have...(1) To be accorded dignity in their personal relationships with staff, residents...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 not ensuring that Staff #6 (S6) treat Resident #1 (R1) with dignity or respect which poses a potential health, safety and personal rights risk to resident in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency is maintained at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #8 (R8) three (3) medications were given according to R8 physician's directions, as evidenced of the 3 medications were observed to be missing in the medication room and two (2) of Resident#9 (R9) medications were observed to be missing in the medication room and R9's medications were not given per R9's physicians directions, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and records review, the licensee did not comply with the section cited above by not ensuring that the signal system is operating in resident's living unit as evidenced of room 5 signal system/pull cord was not working during the facility visit, which poses an immediate health, safety or personal rights risk to persons in care.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities: ...Residents in privately operated RCFEs shall have all of the following...rights: To care, supervision, & services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, & competency to meet their needs. Based on interviews & records review, the licensee did not comply with the section cited above evidenced by not ensuring R1 received the care, supervision & services to meet their needs which poses an immediate health, safety, or personal rights risk to persons in care.

87463. Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months... Based record review, the licensee did not comply with the section cited above evidenced by reappraising and updating R1’s Personal Service plan on 10/10/2020 without informing R1’s responsible party of the changes which poses a potential health, safety, or personal rights risk to persons in care.

Reporting Requirements: A written report shall be submitted to the licensing agency & to the person responsible for the resident within seven days of the occurrence of....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 requierment was not met as evidence by: LPA requested to review Resident 1's (R1's) file. LPA noted several entries that met the criteria for the facility to complete and submit a special incident report (SIR) to licensing. The facility did not submit an SIR for the incidents. This poses a potential risk to residents in care.

Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning & that appropriate assistance is provided when such observation reveals unmet needs. When changes such as..... a physical health condition are observed, the licensee shall ensure that such changes are documented & brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement was not met as evidenced by: Staff interviews and facility records indicate that facility nurse did not notify R1’s physician or responsible party of R1’s change in condition. This poses a risk to the health and safety of residents in care.

Care of Persons with Dementia: 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:Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes. This regulation was not met as evidence by: Resident 1 had a change in condition, ongoing since 6/19/2020 and it was not brought to the attention of R1’s physician in a timely manner.This poses a health and safety risk to residents in care.

The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. The facility has failed to meet this requirement as evidenced by R1 walking out of the facility without facility knowledge.