Carlton Senior Living Sacramento Atrium

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities ... shall have all ... personal rights ... (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met, as evidence by interviews with staff, residents, and collateral interviews corroborating staff did not respond to resident 1 (R1's) requests for assistance in a timely manner. This poses an immediate or potential health concern for residents' in care

87625 Managed Incontinence(b) In addition to Section 87611, General Requirements for Allowable Health Conditions .. (3)Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by record review, interviews with staff, resident, and collateral interview, in which it was corroborated Staff do not ensure incontinent needs for Resident 1 (R1) were being met at all times. This poses an immediate or potential health concern for residents' in care.

87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified ...This requirement was not met as evidenced by record review and interviews with staff, resident, and collateral interview, in which it was corroborated that staff did not ensure that resident's hygiene needs were met for Resident 1 (R1). This poses an immediate or potential health concern for residents' in care

Based on a review of 1of7 resdient files the licensee did not comply with the section cited above in which R6 during the month of July 2025 went without a medication for heart failure for 3 consecutive days and during Aug 2025 the resident went without the same medication for 8 consecutive days and counting. A discussion occured and an explanation was provided that the medication is not covered by the resdients current medical provider, no alternative means have been used which poses an immediate health, safety or personal rights risk to persons in care.

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.

Maintenance and Operation: Syringes and needles are disposed of in accordance with the California Code of Regulations, Title 8, Section 5193 concerning bloodborne pathogens. This requirement was not met as evidenced by statements from staff members confirming needle was not disposed of according to regulations resulting in a staff member finger prick which poses a potential health safety and personal rights risk to residents in care.

Based on measurement of the water temperature, the licensee did not comply with the section cited above. Water temperature was measured 122.5*F. in rm#120 and 124.0*F in rm#103. This poses an immediate health and safety risk to residents in care.

Fire Clearance: All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by Sacramento County Fire Marshall and facility staff confrimed that the backup fire alarm was not operational due to an ATT error, which poses an immediate health, safety, and personal rights risk to residents in care.