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Inspection visit

complaint

CITY CREEK ASSISTED LIVINGLicense 3427008354 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

According to interview, S4 stated the facility has gone as long as 2 weeks without proper medications to administer to residents. According records review, LPA observed several occasions whereas residents did not receive medications with annotations of "waiting on pharmacy". According to records review LPA observed residents did not receive medications over a course of weeks at a time. According to interview with S4, there are times when staff schedules do have employees listed on the schedule that are no longer working at the facility. According to interview, it takes 2-3 days for the schedule to be re-created. When this happens and  there is a shift change, there is no one there to pass medications to residents, therefore residents do not receive medications as prescribed which poses a health and safety violation. According to interview with Administrator, the facility is not responsible for transportation to the VA hospital. Administrator is aware of several residents consistently requesting to be transported to the VA hospital. According to interview with R1, R1 requested on several occasions for assistance for transportation to the VA hospital, to no avail. R1 described a health and safety matter of not having an appetite that R1 felt the VA hospital could provide specialized care to help and was denied service to the VA by the facility. According to interview with staff, staff are providing residents with syringes that are the wrong size. According to interview with S2, there is knowledge by the facility staff of untrained staff providing insulin to residents with the wrong size syringe. According to interview with S2, S2 heard that other staff were using the wrong size syringe but did not confirm it with LPA. According to interviews with S4, residents that are confined to wheelchairs are not being tended to in a timely fashion when asking for assistance. S4 stated residents in wheelchairs ask for assistance from staff and staff are too busy filling in for missing staff that there is no time to attend to request of wheelchair residents in a timely fashion. Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC-9099D. Failure to correct the deficiency may result in civil penalties. Appeal rights were provided. An exit interview was conducted, and a copy of the report was provided to Administrator Caleb Summerhays

Citations

7 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.

  • 87464(f)(6)Type B

    87464 Basic services (f) Basic services shall at a minimum include...(6)Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by: Based on interviews and records review the licensee did not provide arrangements for transportation for 1 out of 2 residents to the medical facility of personal choice. This poses a potential health and safey risk to persons in ca

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed by each5/20 facility...(1)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 interviews with staff and residents, residents in wheelchairs are not having requested assistance in a timely fashion, which poses an immediate health and safety risk to persons in care.

  • 87465(a)(4)Type A

    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 requirement was not met as evidenced by: Based on interviews and records review the licensee did not ensure 3 out of 6 residents did not received medications as prescribed, which poses an immediate health and safety risk to persons in care.

  • 87629(b)(2)Type A

    87629 Injections (b)...the licensees who admit or retain residents who require injections shall be responsible for the following:(2) Ensuring that sufficient amounts of medicines, test equipment, syringes, needles and other supplies are maintained in the facility.. This requirement was not met as evidenced by: Based on interviews with staff and residents, licensee did not ensure residents were equiped with the appropriate medical equipment, which poses an immediate health and safety risk to residents in care.

  • 87465(1)(a)Type A

    87465(1)(a) Incidental Medical and Dental CareA plan for incidental medical and dental care shall be developed by each facility…(1)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 interviews and records review the licensee did not ensure 1 out of 2 residents needs were met which poses an immediate health and safety risk to residents in care.

  • 87629(b)(1)Type A

    87629 Injections (b)...the licensees who admit or retain residents who require injections shall be responsible for the following:(1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement was not met as evidenced by: Based on interviews and record review, licensee did not ensure appropriately skilled professionals were administering injections, which poses an immediate health and safety risk to residents in care.

  • 87464(f)(1)Type A

    87464 Basic Services (f) Basic services shall...include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code 2(c). This requirement was not met as evidenced by: Based on record review and interview, the licensee did not ensure R1 did not leave the facility unassisted, which poses an immediate health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 19, 2022 inspection of CITY CREEK ASSISTED LIVING?

This was a complaint inspection of CITY CREEK ASSISTED LIVING on May 19, 2022. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to CITY CREEK ASSISTED LIVING on May 19, 2022?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "87464 Basic services (f) Basic services shall at a minimum include...(6)Arrangements to meet health needs, including arr..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.