Follow-up·July 24, 2025

Citations

3 citations recorded^*CCLD

• 87211(a)(1)Type B

  Report specified resident events within seven days

  Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by statements and documentation reviewed that R1 was at the hospital related to G-Tube issues in May, April and July 2025 with no incident reports sent to the department which poses a potential health, safety or personal rights risk to residents in care.

• 87211(g)Type B

  Reporting Requirements: The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator... This requirement was not met as evidenced by LPA has received no notification or documentation from the licensee to approve a new administrator who has been working in their capacity as an administrator since February 2025 which poses a potential health, safety and personal rights risk to residents in care.

• 87455(c)(2)Type A

  Acceptance and Retention Limitations: No resident shall be accepted or retained if any of the following apply: The resident requires 24-hour, skilled nursing or intermediate care as specified in Health and Safety Code Sections 1569.72(a) and (a)(1). this requirement is not met as evidenced by statements and demonstrations by facility staff that they are proving R1's feedings via G-Tube and not an appropriately skilled professional and documentation reviewed which indicates R1 is unable to manage own medication administration which poses an immediate health, safety and personal rights risk to residents in care.