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Inspection visit

Complaint

GOLDEN LEGACY ELDERLY CARE IILicense 3427011522 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

R2's MAR entry for Olanzapine is incorrect. The MAR only has one entry for Olanzapine , which the resident has two separate orders for this medication. R2 has an order for Olanzapine 10MG tablets take one tablet by mouth in the Morning, the second order is to take one tablet by mouth at bed time. However, the MAR states Olanzapine Dose: 10MG take 1 tab by mouth in the morning and take 2 tablets at bed time. As a result, the facility is not following doctors orders and prescription bottle order labels. Additionally, R1's medication prescription bottles were found in Resident 3 (R3) medication box. LPA Martinez was informed by staff 2 (S2) that R1 had observed their medication in R3's medication box. In addition, R1 reported observing their medication in R3's medication box during a medication pass, and refused medication during this pass. R1 did not consume medication that was not prescribed to them. Moreover, During today's visit, LPA Martinez observed S1 serve R1 a prepared breakfast meal. The breakfast for today was toast, sliced hard boiled eggs, and fruit. LPA observed and heard R1 inform S1 that they could not eat toast and fruit due to a chewing food issue, which is an ongoing issue. R1 then proceed to eat part of the eggs, and left the rest. As a result, R1 was provided a meal that was not suitable for their care needs. As a result of this investigation, the Department finds these allegations to be Substantiated. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the evidence standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted, and a copy of the 9099 report, LIC 9099-D, and appeal rights were given to the facility. Also, please refer to May 5, 2023 809 report for additional deficiencies.

Citations

4 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.

  • 87465(a)(4)Type B

    Assist residents with self-administered medication

    87465(a)(4)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 was not met as evidence by: Based on observation and file review, the Licensee did not ensure to assist R1 and R2 with their self administered medication as needed. This posed a potential health and safety risk to R1 and R2.

  • 87555(b)(2)Type B

    87555(b)(2) General Food Service Requirements:The following food service requirements shall apply:Where meal service within a facility is elective, arrangements shall be made to assure availability of an adequate daily food intake for all residents... this requirement was not met as evidence by: Based on observation, the Licensee did not ensure R1 was provided adequate daily food intake during BF. This posed a potential health and safety risk to R1

  • 87463(a)Type B

    Update reappraisal at required intervals

    Reappraisals 87463(a)The 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 evidence by. Based on observation, R1's appraisal was not updated to reflect R1's physical health status change. This posed a potential health and safety risk to R1.

  • 87465(h)(6)Type B

    Record centrally stored prescriptions and refill data

    Incidental Medical and Dental Care 87465(h)(6) The following requirements shall apply to medications which are centrally stored:The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident...This requirement was not met as evidence by Based on observation and file review, the Licensee did not ensure R1 had a current MAR. This posed a potential health and safety risk to R1.

FAQ · About this visit

Common questions about this visit

What happened during the May 5, 2023 inspection of GOLDEN LEGACY ELDERLY CARE II?

This was a complaint inspection of GOLDEN LEGACY ELDERLY CARE II on May 5, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to GOLDEN LEGACY ELDERLY CARE II on May 5, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87465(a)(4)Incidental Medical and Dental Care...A plan for incidental medical and dental care shall be developed by each..."

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.