Carlton Senior Living Orangevale

80075 -Health Related Services (b)(5)(B) - Once ordered by the physician the medication is given according to the physician's directions.... This requirement was not met as evidenced by: Based on incident report, staff interviews and medication record review from the facility, It was determined that facility administered wrong medications to R1 which poses a immediate health and safety risks to residents in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence... (D) Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by: Based on record review and staff interviews, it was concluded that resident, R1 had a fall with injury on 09/11/25 but an incident report was not submitted within required time frame , which poses a potential risk for residents in care.

80075 -Health Related Services (b)(5)(B) - Once ordered by the physician the medication is given according to the physician's directions.... This requirement was not met as evidenced by: Based on record review from the facility, it was observed that on 07/25/25, resident, R1 was given wrong insulin dose by staff which poses an immediate health and safety risk to residents in care.