Meraki of Sacramento

Facility must clear fire safety for bedridden persons

Fire Clearance0 (a) All facilities shall maintain a fire clearance approved ... the ... department, or.... State Fire Marshal. Prior to accepting or retaining any of the following types of persons, ...(2) Bedridden personsThis requirement was not met based on records, observation and interviews. This posed an immediate risk to R1.Civil panalty applied

Resident record must include minimum required items

Resident Records(b) Each resident’s record shall contain at least the following information: …(8) Names, address, and telephone numbers of the resident’s representative…(15) The admission agreement… This requirement was not met based on records review. This posed a potential risk to R1.

Document each PRN medication dose taken

Incidental Medical and Dental Care(c) (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement was not met based on interview and records review. This posed a potential risk to R1.

Maintain cleanliness and prevent incontinence odors

Managed Incontinence (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 observations and statements. This posed a potential risk to R1.

Medical Assessment (b) The medical assessment shall include, but not be limited to: (physical exam, by a physician, is complete, contains height, weight, blood pressure, Tb clearance and prescribed medications). This requirement was not met by statements and records. This posed a potential risk.

Assist residents with self-administered medication

Incidental Medical and Dental Care (a) (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met based on statements and observation that R1's medication was held for 6 days without a physician's hold order. This was an immediate risk to R1

Sale of licensed facility- Except as provided in subdivision (e), the property and business shall not be transferred until the buyer qualifies for a license or provisional license within the appropriate provisions of this chapter. This requirement was not met based on statement that the licensee leased the facility property to another party. This posed a potential risk to residents.

Record centrally stored prescriptions and refill data

Incidental Medical and Dental (h)... medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year.This eas not met based on records. Potential risk to residents

Regular observation and documentation of resident changes

Observation of the Resident… When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement was not met based on statements and records that R1 was demonstrating significent decline, changes were not recorded and a physician was not informed timely. This posed and immediate risk to R1

Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement was not met based on staements and records. This poses a immediate risks to residents.

Update reappraisal at required intervals

Based on records review the licensee did not comply with the section cited above in 5 of 5 resident files reviewed did not have current Needs and Services Plans which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review found S1 and S2 to not have completed medication training documentation, which poses/posed a potential health, safety or personal rights risk to persons in care.

Perform a pre-admission resident appraisal

Based on records review, the licensee did not comply with the section cited above in 3 of 5 residents did not have preappraisals on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based onrecords review, the licensee did not comply with the section cited above in 5 of 5 residents had expired or missing LIC 602s which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above that a current Emergency plan was not present at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Care of Persons with Dementia(l) The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates:(2) The licensee shall ensure that the fire clearance includes approval of locked exterior doors or locked perimeter fence gates. This requirement was not met based on obervations by LPA on 5/28/24 and 6/7/24.This posed an immediate risk to residents.

Care of person's with dementia- (A) In addition to requirements...Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision.This requireent was not met when R1 demonstrated possible need for ON supervision, it was not put in place and keys were not secured.This posed an immediate risk to R1.

Personal rights of residents in all facilities

Personal Rights.Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.