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Inspection visit

Follow-up on corrections

EHIMAS RESIDENTIAL CARELicense 3427009032 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/17/23, Licensing Program Analyst, (LPA) Maja Jensen arrived at facility unannounced to conduct a case management for deficiencies. LPA Jensen met with Justice Ehimamiegho and explained the purpose of today's visit. The Department conducted an investigation in relation to complaint control # 27-AS-20230227143013 . During the course of that investigation and based on facility records it was determined Resident 1 (R1) f ell on 11/19/2022, 11/29/2022, 12/16/2023, 12/24/2023, and 02/23/2023. Paramedics assessed R1 after the fall on 12/16/2023, but R1 was not taken to the hospital. Consumnes Fire Department Report #F202220234263 documents that facility staff S1 signed the Patient Care Report and acknowledged refusal of transport. S1 reported that the paramedics refused to transport Gregory to the hospital and that she was not the one to make the decision to not send R1 to the hospital however the Consumnes Fore Department Pre hospital Care Report states " staff signed against medical advice and witnessed via crew. No further patient care provided and crew cleared scene" R1 was not assessed at the hospital until after the fall on 02/23/2023 . The resident's needs and service plan is dated 12/9/22 and was not updated after the fall from 12/16/23 or 12/24/23 despite the fact that fall prevention measures that the Administrator claims were in place were ineffective. Deficiencies are being cited from the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of Civil Penalties. An exit interview was conducted and a copy of this report, a confidential names list and appeal rights were provided.

Citations

3 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.

  • 87463(a)Type A

    ReappraisalsThe pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. This requirement was not met as evidenced by: Based on records reviewed the resident appraisal was not updated after R1 sustained multiple signficant falls. This poses an immediate risk to health safety and personal rights of residents in care.

  • 87465(a)(1)Type A

    Incidental Medical and Care...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 as evidenced by: Based on the Consumnes Fire Department, Prehospital Care Report #F22234263, S1 signed an order for R1 not to be transported to the Emergency Department against medical advice. This poses an immediate risk to the health, safety and personal rights of residents in care.

  • 87468.2(a)(4)Type A

    Additional Personal Rights of Residents in Privately Operated Facilities...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:...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: Based on records reviewed and interviews conducted staff did not adequately supervise R1 resulting in multiple falls with serious bodily injury. This poses an immediate risk to the health, safety and personal rights of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 17, 2023 inspection of EHIMAS RESIDENTIAL CARE?

This was a other inspection of EHIMAS RESIDENTIAL CARE on August 17, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to EHIMAS RESIDENTIAL CARE on August 17, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "ReappraisalsThe pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant chan..."

What type of inspection was this?

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

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.