Summerfield of Redlands

Food quality controls and rejected damaged goods

Based on observation, the licensee did not comply with the section cited above by not disposing perishable food by used by date an which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements A written report shall be submitted to the licensing agency..(b)Any suspected physical abuse that results in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, ...local law enforcement agency within two (2) hours as required by Welfare and Institutions Code Section. Based on observations, interviews and record review, the administrator did not comply with the section cited above by not submitting an incident report within 7 days of the incident which poses a potential health, safety and personal risk to persons in care.

Right to freedom from abuse and neglect

87468.2(a)(8) 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:(8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Based on interviews and records reviewed staff neglect resulted in R1's death. This poses a potential health, safety, or personal rights risk to residents in care.

Facility personnel sufficiency and competence

Personnel Requirements: GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: based on interviews and records reviewed S1 failed to demonstrate competency when she did not perform first aid. This poses a potential health, safety, or personal rights risk to residents in care.

Right to sufficient care and qualified staff

87468.2(a)(4) Additional perosnal rigths of residents of privately operated faclilites (a)... facilities for the elderly shall have all of the following personal rights: (4) to care, supervision and services that meet...This requirement is not met as evidence by: Based on interviews and records review licensee did not ensure the physical safety of resident 1 (R1) and did not call 911 per the family's request, which posed an immediate risk to the health and safety of the resident in care.

Prohibit tying or restricting resident hands or feet

87608. Postural Supports(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself...(5)Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. Based on interviews, the licensee did not comply with the section cited above evidenced by tying a resident in his wheelchair with a bedsheet which poses an immediate health, safety or personal rights risk to persons in care.

Arrange appropriate medical and dental care

INCIDENTAL MEDICAL & DENTAL CARE The licensee shall arrange, or assist in arranging, for medical & dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on file review & interviews, the licensee failed to seek medical attention in a timely manner it was 2 days before facility staff arranged for appropriate medical care for R1.