Complaint·December 5, 2024

Citations

5 citations recorded^*CCLD

• 87465(a)(1)Type A

  Arrange appropriate medical and dental care

  Incidental Medical and Dental Care: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by LPA reviewed of three resident medication administration records which documented medications that had not yet been given to the residents which poses an immediate health, safety and personal rights risk to residents in care.

• 87465(c)(2)Type A

  Give PRN medication by physician order

  Incidental Medical and Dental Care: Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by LPA review of R1's medication administration records which showed documentation of a medication ordered to be given every other day is documented as being administered to R1 daily which poses an immediate health, safety and personal rights risk to residents in care.

• 87465(h)(1)(a)Type A

  Incidental Medical and Dental Care: The preservation of medicines requires refrigeration, if the resident has no private refrigerator. This requirement was not met as evidenced by LPA observations of insulin medication not stored in a refrigerator prior to first use as directed on the prescription directions which poses an immediate health safety and personal rights risk to residents in care.

• 87465(h)(5)Type A

  Keep prescriptions in original containers

  Incidental Medical and Dental Care: Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by LPA review of centrally stored medications and statements obtained from staff member that they have transferred medications from one prescription container to another which poses an immediate health, safety and personal rights risk to residents in care.

• 87705(c)(4)(A)Type B

  In addition to requirements specified in Section 87415, 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 requirement was not met as evidenced by LPA observations of staff schedule and statements obtained form the licensee that there are times where there is not an awake staff member on duty which poses a potential health, safety and personal rights risk to residents in care.