Wellquest of Elk Grove

Maintain facility in clean, safe, sanitary condition

“The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.” This requirement was not met as evidenced by: Based on interviews and record review, the facility’s memory care patio area was not maintained in a safe manner at all times, which poses/posed a potential health, safety, and/or personal rights risk.

Assist residents with self-administered medication

(4) The licensee shall assist residents with self-administered medications as needed.This is not met as evidenced by:The licensee did not ensure that they assisted R1 with their medication. The licensee did not obtain medication as prescribed resulting in a missed dosage. This poses a potential health, safety, and personal rights risks to persons in care.

General Food Service Requirements: The following food service requirements shall apply: Where all food is provided by the facility arrangements shall be made so that each resident has available at least three meals per day. This requirement is not met as evidenced by:Based on interviews and record reviews, R2 was being charged for the third meal while living at this facility. This poses a potential risk to health, safety, and personal risks to persons in care.

Basic Services (f) Basic services shall at a minimum include: (3) Three nutritionally well-balanced meals and snacks made available daily, including low salt or other modified diets prescribed by a doctor as a medical necessity, as specified in Section 87555, General Food Service Requirements. This requirement is not met as evidenced by:Based on interviews and record reviews, R2 was being charged for the third meal while living at this facility. This poses a potential risk to health, safety and personal risks to persons in care.

Basic services requirements: Every facility required to be licensed under this chapter shall provided at least the following basic services: Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidence byBased on record reviews and interviews, the licensee did not ensure staff provided care and supervision to R1 in which R1 was left unattended outside with direct exposure to the sun and heat, sustaining heat-related injuries and heat stroke, resulting in death. This poses an immediate health and safety risks to resident in care.

Assist residents with self-administered medication

Incidental Medical and Dental Care 87465(a) A plan for incidental medical...(4) The licensee shall assist residents with self-administered medications as needed.The facility did not ensure the above regulation was met as evidenced by: Based on interviews and record reviews, the licensee did not ensure facility had enough qualified staff to assist with residents' medication as scheduled. This posed an immediate threat to the health, safety and personal rights of the residents in care.

Facility must clear fire safety for bedridden persons

Based on record review and interview, the licensee did not comply with the section cited above. 2 residents became bedridden status and were living in units that are not fire cleared for bedridden residents which poses an immediate health, safety or personal rights risk to persons in care.

Arrange appropriate medical and dental care

Incidental Medical and Dental Care Services: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement was not met as evidenced by Based on record review and interview, licensee did not comply with the regulation noted above. S1 administered eye drops to R1that were prescribed for another resident. This poses a potential health, safety and personal rights risk to residents in care.

(a) (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events...(A)Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement is not met as evidenced by:Based on record review and interview, a death report was submitted to the Department past the seven days requirement, which poses/posed a potential health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

87465 Incidental Medical and Dental Care c).. provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on records review, the licensee did not ensure R1's physician orders were followed. This poses an immediate health, safety, or personal rights risk to residents in care.

87705 Care of Persons with Dementia (c) Licensees...shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff... shall receive...training as appropriate for the job assigned and as evidenced by safe and effective job performance: This requirement was not met as evidenced by: Based on records review and interviews, the licensee did not ensure staff (S1) was properly trained to ensure that 1 out 24 memory care residents were kept safe from wandering out of the facility, which poses an immediate health and safety risk to residents in care.