Plc 7117 Main, Llc

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities -(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities.....(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. this requirement was not met as evidenced by; The investigation revealed that on 01/14/2026, resident, R1 sustained a fall during a transfer by staff , S1. A review of R1’s needs and service plan documents R1 requires a 2-person physical assist and notes “always use gait belt”, which poses a immediate health and safety risks to residents in care.

87465- (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: Based on observation ,medications were left unattended and accessible to residents (R1,R2,R3) without staff's supervision which poses a immediate health, safety or personal rights risk to persons in care.

87211(a)(1)(D) -Reporting Requirement- Any incident which threatens the welfare, safety or health of any resident, such as..... This requirement is not met as evidenced by; Based on the records review and interviews, it has been determined that the facility did not report an incident where resident R1 had a fall incident while staff transfer around 01/14/26 which poses an potential health and safety risks to residents in care.

80061-(b) Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, a report .... (2) below shall be submitted to the licensing agency within seven days following the occurrence of such event…. This requirement is not met as evidenced by; Based on documents reviewed, the facility did not meet reporting requirements for incidents that occurred around 08/22/24 for resident, R1 which poses potential health and safety risks to residents in care.

Based on observation, staff's interviews and record review, the licensee did not comply with the section cited above as Resident ,R2, physician's order for Quietiapinel 50mg for 4 tablets daily but facility was giving 5 tablets daily and Levetiracem 500 mg order for 3 tablets daily but facility was giving 2 tablets daily .Centrally stored Log was not maintianed correctly for R2s medications. which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and staff's interview, the licensee did not comply with the section cited above as Hot Water measured at 150-155 degree in residents' bathroom and in facility's kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.

87465(a)(4) 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 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 evidence by:Based on records review and interviews conducted, the facility did not ensure R1 had prescribed medication. This poses an immediate health and safety risk to residents in care.

87465(a)(5)-Incidental Medical and Dental Care-A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on interviews, admission and accounting, licensee did not administer medication in accordance to MD orders. Narcotic medication came up short 12 dosages when counted. This is in violation of this section. This poses an immediate health and safety risk to residents in care.

87205 Accountability of Licensee Governing Body(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement was not met as evidenced by: interviews and documentation review. The licensee failed to ensure the general supervision of the facility which resulted in financial abuse of R1 and R2. This poses an immediate health, safety, and/or personal rights risk to residents in care.

§1569.269 Enumerated rights; severability(a) Residents of residential care facilities for the elderly shall have all of the following rights: (10)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: interviews and documentation review. The licensee failed to ensure that residents were free from financial exploitation. This poses an immediate health, safety, and/or personal rights risk to residents in care.