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Inspection visit

Follow-up on corrections

SACRAMENTO SENIOR LIVINGLicense 3427012301 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit in order to address deficiencies discovered during a complaint investigation. LPA Moleski spoke with facility administrator Salote Lewis over the phone and explained the purpose of the visit. During the course of a complaint investigation, LPA Moleski interviewed a staff member (S1). S1 told LPA Moleski that S1 flushed an unknown quantity of a resident's (R1) medication on an unknown date. During a complaint investigation visit on October 5, 2023, LPA Moleski observed in R1’s centrally stored medication records that R1 started a 30-capsule bottle of medication on September 2, 2023. This medication was not listed on R1’s MARs for the month of September. LPA Moleski reviewed hospital discharge orders for R1 from a hospital visit dated August 21, 2023 to September 1, 2023 which discontinued the medication. On R1’s MARs for October 2023, R1 was given daily doses of the medication from October 1 to October 5, according to the MARs. During the same visit on October 5, 2023, LPA Moleski interviewed a staff member (S1). S1 said R1 was not given doses of the medication from October 1, 2023 through October 3, 2023, and admitted to falsely marking the MARs as if medication had been given, though none was. S1 said there was no new start order for the medication. LPA Moleski interviewed a second staff member (S2). S2 said R1 had been given doses of the discontinued medication on October 4, 2023 and October 5, 2023. During the same visit on October 5, 2023, LPA Moleski observed that only two capsules of the medication remained of the 30-capsule bottle. Based on doses signed off in R1’s MARs, a minimum of 25 capsules should have remained as of October 5, 2023. S1 said S1 flushed an unknown quantity of capsules at an unspecified date. S1 said there were no witnesses to this act. R1’s medication destruction records were blank as of October 5, 2023. This facility is being cited per 22 CCR Section 87465(i). An exit interview was held with Lewis. Appeal rights and a copy of this report were left with staff member Eliesa Qiolele.

Citations

2 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(i)Type A

    Dispose of unused medications with required witness

    "(i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following:"This requirement was not met as evidenced by: Based on observation and interview with S1, S1 destroyed an unknown amount of R1's medications without witnesses, and without the presence of the facility administrator, and without recording the destruction as required, which poses an immediate health and safety risk.

    Read full inspector narrative
  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    "The licensee shall assist residents with self-administered medications as needed."This requirement was not met as evidenced by: Based on observation, record review, and interviews, R1 was not given medication in accordance with doctor's orders, which poses an immediate health and safety risk.

FAQ · About this visit

Common questions about this visit

What happened during the October 24, 2023 inspection of SACRAMENTO SENIOR LIVING?

This was an other inspection of SACRAMENTO SENIOR LIVING on October 24, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SACRAMENTO SENIOR LIVING on October 24, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: ""(i) Prescription medications which are not taken with the resident upon termination of services, not returned to the is..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.