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Inspection visit

complaint

OAKMONT OF EAST SACRAMENTOLicense 3427011213 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Interviews with staff including S3, S1, S5 and S7 revealed consistent statements of R1's decline in her ability to be stable and walk. S1, S5 and S7 detailed that R1 had three to four falls that occurred within the last six months of R1 living at the facility. S3, S1, S5 and S7 denied knowing about a fall prevention plan for R1. All of the staff agreed that the alert pendants were not reliable and do not always work. Additionally, regarding reporting requirements, A2 and A1 both provided statements to the department they were not contacted regarding R1's latest fall and hospitalization. These statements have been corroborated by R2 who provided statements that A2 was not aware of R1's fall and hospitalization or absence from the facility. Staff interviews were unable to corroborate a staff actually contacted an emergency contact and the facility was unable to provide any evidence of contact with emergency contacts. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Neglect/Lack of Supervision, Reporting requirements and Other is substantiated. The following deficiencies are cited per California Code of Regulations, TITLE 22. Due to the identified violation resulting in a resident injury an immediate civil penalty is issued and the department will evaluate the circumstances of the violation for additional civil penalties. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.

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.

  • 87303(i)(1)(A)Type A

    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.

  • 87465(a)(1)Type A

    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.

  • 87468.1(a)(8)Type A

    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.

FAQ · About this visit

Common questions about this visit

What happened during the March 20, 2024 inspection of OAKMONT OF EAST SACRAMENTO?

This was a complaint inspection of OAKMONT OF EAST SACRAMENTO on March 20, 2024. 3 citations were issued: 3 Type A (serious).

Were any citations issued to OAKMONT OF EAST SACRAMENTO on March 20, 2024?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "Maintenance and Operation: Facilities shall have signal systems which shall meet the following criteria: Operate from ea..."

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.