Cogir of Stock Ranch

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. ...(4) The licensee shall assist residents with self-administered medications as needed. This poses a potential risk to health and safety for residents in care. This requirement is not met as evidenced by: Based on medication audit, facility is retaining residents discontinued medication and ordered medications are not in the facility.

(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement is not met as evidenced by:Based on record review, the licensee did not comply with the section cited above in incident reports were missing or not created regarding R1’s fall which poses/posed a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care(h)The following requirements shall apply to medications which are centrally stored: (5)Each resident's medication shall be stored in its originally received container.  No medications shall be transferred between containers.  . This requirement is not met as evidenced by:Based on observation and interview, medications are being pre-poured more than 24 hours in advance. LPA interviews indicated that medication is pre-poured for four (4) days in advance. This poses a potential health and safety risk to residents in care.

87465Incidental 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 and dental care and 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 and interview medications were not being documented accurately.This poses a potential health and safety risk to residents in care.

1569.312 Every facility required to be licensed under this chapter shall provide at least the following basic services:(d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community.This requirement is not met as evidenced by: Based on file review and interview, the Licensee did not comply in the section cited above as R1 was observed to have left the community and is unable to leave the community unassisted which poses an immediate health and safety risk for residents in care.

Based on record review, the licensee did not comply with the section cited above in 8 out of 8 staff does not have first aid training which poses a potential health and safety risk to persons in care.

87464 Basic Services (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescibed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by: Based on interviews and records review, staff did not assist R1 with scheduled shower which poses a potential health and safety risk to resident in care.