Oakmont of East Sacramento

87468.1(a)(2) Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations... This requirement is not met as evidenced by:Based on interview a staff asked a resident and their privately hired companion who was in the library to move their breathing exercise to the spa area. This posed a potential risk to residents in care.

87465 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 was not met as evidenced by: Based on record review and interview the Licensee did not ensure that (R1) received (R1) medications as prescribed by (R1)’s physician’s order. The facility did not provide the residents medication prescribed by the doctor from 06/03/2024 to 06/06/2024 and again from 06/12/2024-06/20/2024. This poses an immediate health, safety, and personal rigths risks to persons in care.

(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. This is not met as evidenced by: Based on record review and interview the facility did not report R1's unstageable wound within 7 days of occurence. The incident occured on 06/20/2024 and 06/21/2024 and the facility did not provide the incident report to the department until 06/29/2024. This poses a potential health, safety, and personal rights risks to persons in care.

87303(i)(1)(B) Maintenance and Operation(i) Facilities shall have signal systems which shall meet the following criteria:(1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall:(B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement was not met as evidence by:Based on 7 out 8 resident SMART care log it was learned that residents alert call was not responded to and that occasionally calls took over 15 minutes to respond, which poses a potential health, safety, or personal rights risk to persons in care.

Maintenance and Operation: Facilities shall have signal systems which shall meet the following criteria: Operate from each resident's living unit. This requirement was not met as evidenced by statements obtained from A1, A2, S1, S5, S3, and S7 that state they do not believe the call system operates properly and there are times where they are not notified of an alert from a resident's room and documented concerns of call system not working as designed which poses an immediate health safety and personal rights risk to residents in care.

Incidental Medical and Dental 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 met as evidenced by staff statements that they were aware of R1's decline in mobility but did not have a fall prevention plan in placement to address recurring falls which resulted in additional falls where R1 sustained a fracture which required hospitalization which poses an immediate health, safety and personal rights risk to residents in care.

Personal Rights of Residents in All Facilities: To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. this requirement was not met as evidenced by statements from A1, A2 and R2 who corroborated statements that authorized representatives were not notified by facility staff of R1's fall and subsequent hospitalization which poses an immediate health, safety and personal rights risk for residents in care.

§1569.158(f) Family councilsf a family council submits written concerns or recommendations, the facility shall respond in writing regarding any action or inaction taken in response to the concerns or recommendations within 14 calendar days.

87303(i)(1)(B) Maintenance and Operation(i) Facilities shall have signal systems which shall meet the following criteria:(1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall:(B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff.This requirement was not met as evidence by: Based on LPA Lee investigation 7 out of 10 residents has a concern in regards to staff not responding to resident’s call pendant in a timely manner. LPA Lee requested and reviewed 10 residents Personal Health Button Report (PHBR). The documents revealed that 3 residents (PHBR) were not responded within 15 minutes or less minutes per administrator, Luis and VIP of Operation, Terry. Furthermore, the documents also revealed that 7 residents (PHBR) stated that residents’ calls were ever respond to, which poses a potentialhealth, safety or personal rights risk to persons in care.

1569.884(b) Contents of residential care facility admission agreements(b) A comprehensive description of, and the fee schedule for, all items and services not included in a single fee. In addition, the agreement shall indicate that the resident shall receive a monthly statement itemizing all separate charges incurred by the resident.This requirement was not met as evidence by... Administrator did not ensure that a resident is receiving a monthly statement itemizing all separate charges incurred by the resident on resident's invoice statement.

Administrator - Qualifications and Duties: The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by the facility did not meet all reporting requirements as identified in welfare institutions code for mandated reporting for financial abuse as a suspected dependent adult/elder abuse report should have been submitted to the local ombudsman within two working days. The Administrator had provided reports for three of the four instances but did not complete reporting requirements for the reported incident in March 2023. per welfare institutions code 15630.2.(b)(3) If the mandated reporter knows that the elder or dependent adult resides in a long-term care facility, as defined in Section 15610.47, the report shall be made to the local ombudsman, local law enforcement agency, and the Department of Financial Protection and Innovation. which poses a potential health safety and personal rights risk to residents in care.

Additional Personal Rights of Residents in Privately Operated Facilities: 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 four instances of theft of a resident's credit card and unauthorized use by a staff member who was arresed by local law enforcement while at the faclity on 9/12/23 which poses a potential health, safety and personal rights risk to resident's in care.

Payment provisions, including the following: A comprehensive description of billing and payment procedures. This requirement was not met as evidenced by Facility disclosure of reimbursement to R1 for pet service fee that was intended for dog care, not cats, which poses a potential health, safety and presonal rights risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interview and record review Licensee did not ensure residents were accorded dignity by Staff 1 (S1). This poses a potential health and safety risk to residents in care.