Cogir of Folsom

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medication count and records reviewed, the facility did not ensure that residents (R2, R3, R4, & R5) were receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision...This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the facility did not ensure staff were sufficient in number to provide care and supervision to residents, which poses an immediate health, safety, and personal rights risk to residents in care.

87506 Resident Records(b) Each resident’s record shall contain at least the following information:(9) Name, address and telephone number of physician and dentist to be called in an emergency.This requirement is not met by: Based on file review and interview, Licensee did not comply as R1's resident record did not have R1's updated medical physician information which R1 was transported to wrong emergency medical facility which poses a potential risk for resident in care.

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption... This requirement is not met as evidenced by: Based on file review and interview, Licensee did not comply as S1 has been working at the facility since September 2024 when an exemption request has not been completed, which poses a potential risk for residents in care.

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on interviews, Licensee did not comply to the section cited above as Executive Director knowingly failed to comply with criminal record regulations as well as failure to assist resident to ensure medications are given as prescribed, which poses a potential risk for residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance... (4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on file review and medication audit, Licensee failed to comply as R1 was not administered one dose of pentoxifylline as prescribed, which poses a potential risk for resident in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports (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 requirmenet is not met as evidenced by: Based on file review, Licensee did not comply as LPA received approximately 17 incident reports that exceed the seven days timeframe, which poses a potential risk for residnets in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility... (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on file review, Licensee did not comply as incident report revealed R1 did not receive medications for more than 30 days which poses an immediate health and safety in care.

§1569.312 Basic services requirements Every facility required to be licensed under this chapter shall provide at least the following basic services: (d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met as evidenced by: Based on interview conducted, Licensee did not comply as R1 managed to escape out of the facility to the locked courtyard, unnoticed for hours by staff, which resulted to an injury, which poses an immediate health and safety risk for residents in care.

87465 Incidental Medical and Dental Care (a) ... The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on file review, Licensee did not comply to the section cited above as R1 was not administered medications as prescribed, which posed a potential health and safety risk for residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on file review and interviews, Licensee did not comply with the section cited above as staff failed to follow protocol during the incident with R2, which poses an immediate health and safety risk for residents in care.

87555 General Food Service Requirements (a) The total daily diet shall be of the quality...necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement is not met as evidenced by: Based on kitchen inspection, Licensee did not comply with the section cited above as LPA observed two items in the pantry that was expired, which poses a potential health, safety, and personal rights violation to the residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse... This requirement is not met as evidenced by: Based on interview, Licensee did not comply with the section cited above as S2 confirmed that S1 had informed R1 to stop pulling the call light, resulting to R1 being afraid to use call light, which poses an immediate health and safety risk for residents in care.