Meridian at Chino

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 in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self administered medications as needed This was not met as evidenced by:Executive Director Enriquez was made aware of the medication error and documented that the medication was not dispensed with the allowable time frame for this medication.

(f) Basic services shall at a minimum include: (3) Three nutritionally well-balanced meals and snacks made available daily... This requirement was not met as evidenced by: During investigation of a complaint, LPA found that facility staff had forgotten to distribute R1’s meals during several occasions. This poses a potential health and safety risk to residents in care.

(f) Basic services shall at a minimum include: (1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: During investigation of a complaint, LPA found that R1 sustained injuries while in the facility's care. This poses a potential health and safety risk for residents in care.

Additional Personal Rights of Residents in Privately Operated Facilities: ...Residents in privately operated RCFEs shall have all of the following...rights: To care, supervision, & services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, & competency to meet their needs. This requirement was not met as evidenced by: Based on interviews & records, the Licensee did not ensure R1 received the care, supervision & services to meet their needs. Records revealed R1 had dx of stage IV ulcer. Interviews reported staff were aware of R1's injury & was not rotated appropriately.

Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: To receive or reject medical care or other services. This requirement was not met, as evidenced by: Based on interviews the Licensee did not ensure R1 maintained the right to receive medical care. On 07/16/20, a home health representative responded to the facility to evaluate R1, however, the representative was denied entry into the facility.

Personal Rights of Residents in All Facilities: Residents in all RCFEs shall have all of the following personal rights: To be accorded safe, healthful & comfortable accommodations, furnishings and equipment. This requirement was not met, as evidenced by: Based on interviews, the licensee did not ensure residents were accorded safe, healthful, & comfortable accomodations. Staff members indicate staff were not properly wearing masks throughout their shift. The facility did not conduct mass testing until 07/29/20. This posed a potential threat to the health and safety of the residents in care.

Personnel Requirements: personnel shall be sufficient in numbers and competent to provide the services necessary to meet the residents needs. This requirement was not met as evidenced by: Based on interviews and file review, R1 was temporarily placed in the Transitional unit.R1 fell twice on 10/17/21.This is an immediate health and safety risk to residents in care.

Personal Rights of Residents in all Facilities:To be accorded safe, healthful & comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by: Based on interview and file review. R1 fell twice on 10/17/21. R1 passed on 10/20/21. R1 was waiting on a room in the Legacies MC unit. This is an immediate health and safety risk to residents in care.