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Inspection visit

Routine inspection (multi-day)

WALNUT HOUSELicense 342700186
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On August 24, 2023 at 3:00 PM, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management annual continuation. LPA met with Regional Director, Robert Godfrey, and Administrator, Lacy Berry, and explained the purpose of the visit. Regional Director informed LPA that Administrator is currently in a meeting with Long Term Care Ombudsman and other facility staff to discuss resident care plan. Licensing Program Manager (LPM) Laura Munoz arrived to the facility shortly afterwards. During today's visit, LPA conducted resident interview and staff interviews. LPM conducted a resident and personnel file review and observed the files to be complete. LPM observed the fire extinguisher to be recently serviced. Additionally, LPM observed the facility to have 2+ days of perishable and 7+ days of nonperishable food present in the kitchen. Sharps and toxins were observed to be locked and secured. LPM observed call button to be missing in a resident's room. Administrator informed LPA that it was not notified to front desk and will provide a call light immediately to the room. LPA, LPM, Administrator and Regional Director discussed the concerns at the facility, House Rules and process of providing 30-day eviction notices. Additionally, LPA and Administrator discussed concerns regarding medication and staffing. LPA and LPM was informed Alan Flores Consultant Group Nurse Consultant will provide an on-site to conduct a full medication audit for the facility. As a result of today's visit, no deficiencies cited. Exit interview conducted, and a copy of the report was provided.

Citations

2 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)(1)Type B

    Dignity in personal relationships

    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. This requirement is not met as evidenced by: Based on interviews conducted, Licensee did not ensure residents in care to be accorded dignity, as residents informed LPA and LPM the PM shift staffs are rude and disrespectful, which poses a potential risk to residents in care.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical... provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation during medication audit, Licensee did not ensure medications were administered, as LPA and LPM observed MARs was not sign if medications were administered to residents, Rooms #1-47. Days of missing signatures ranged from 3-6 days from the date of inspection, which poses an immediate risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 24, 2023 inspection of WALNUT HOUSE?

This was an other inspection of WALNUT HOUSE on August 24, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to WALNUT HOUSE on August 24, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.