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Inspection visit

complaint

CARLTON SENIOR LIVING SACRAMENTO ATRIUMLicense 3427012121 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

and stated that they had 7 days in which to do so. LPA was told these medications were for 2 residents. One medication was in the appropriate prescription bottle. Another medication was in a medication cup with the resident information hand written on the lid. There were 2 other medication cups without any resident information on them. LPA asked for copies of the Electronic Medication Record (EMAR) for these two residents to see if any notes were included to describe why these medications were in the Medication Manager's possession. The Medication Manager stated that 1 medication crumbled when cut in half and could not be counted or administered. LPA was told that another medication was found on the floor of a resident's room, and the last pill was found in a resident's bedding. There were no notes in the EMAR accounting for these medications or that they were turned into the Medication Manager for destruction. This LPA also learned during the course of this investigation that it was the practice of this facility not to log the destruction of pills found /not taken. Pills were only logged in the centrally stored destruction log if staff found more than one. LPA provided technical assistance regarding the recording and destruction of medications. The standard for the preponderance of evidence was met and the Department found this allegation to be SUBSTANTIATED. According to the California Code of Regulations, Title 22, this deficiency was cited on the LIC 9099D page. A copy of this report was provided along with APPEAL RIGHTS. Exit interview. mean that the allegation is not true or did not happen, it means that there was not enough evidence to substantiate the allegation. According to the California Code of Regulations, no deficiencies were cited during today's visit. A copy of this report along with APPEAL RIGHTS wer provided. Exit interview.

Citations

1 citation 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(i)Type A

    Incidental Medical and Dental Prescription medications which are not taken ..physician and documented in the resident’s record nor disposed of according shall be destroyed ...which lists the following:The Licensee di not ensure the above regulation was enforeced as evidenced by: The LPA observed 4 resident medications in the unlocked desk of the Medication Manager (MM). The MM could not provide documentation explaining why these meds were in their drawer waiting to be destroyed. This posed an immediate risk to the put the health safety and personal rights of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 14, 2025 inspection of CARLTON SENIOR LIVING SACRAMENTO ATRIUM?

This was a complaint inspection of CARLTON SENIOR LIVING SACRAMENTO ATRIUM on May 14, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to CARLTON SENIOR LIVING SACRAMENTO ATRIUM on May 14, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Incidental Medical and Dental Prescription medications which are not taken ..physician and documented in the resident’s ..."

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.