Oceanside Elderly Care Home 448

87211 Reporting Requirements: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) 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...(D) Any incident which threatens the welfare, safety or health of any resident." This requirement was not met, as evidenced by: Based on records and interviews, 1 of 2 residents (R1) had an incident which threatened their welfare/health, and Licensee did not submit a written report of the incident to the licensing agency and the person responsible for the resident within seven days of incident occurrence. This posed a potential health risk to persons in care.

87466 Observation of the Resident: “The licensee shall ensure that residents are regularly observed for changes in physical…functioning... When changes such as…deterioration of…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, as evidenced by: Based on records and interviews, 1 of 2 residents (R1) had a deterioration of a physical health condition which staff observed, but Licensee did not ensure that this change was documented and brought to the attention of the resident’s physician (or their staff) and responsible person. This posed a potential health risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: “(a)…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions…‘involuntary’ means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not ensure that 1 of 2 residents (R1) was protected from involuntary transfer. The transfer was initiated by the licensee, not by the resident. This posed a potential personal rights risk to persons in care.

87467 Resident Participation in Decisionmaking: “(a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, and any other appropriate parties, to prepare a written record of care the resident will receive in the facility, and the resident’s preferences regarding the services provided at the facility.” This requirement was not met, as evidenced by: Based on records reviewed and manager interview, Licensee did not have on file for 2 of 2 residents (R1 and R2) a completed LIC625 Appraisal/Needs and Services Plan (or equivalent “written record of care the resident will receive”), and the resident’s preferences regarding the services provided at the facility. This posed a potential health and personal rights risks to persons in care.

87506 Resident Records: “(b) Each resident’s record shall contain at least the following information: (9) Name, address, and telephone number of physician and dentist.” This requirement was not met, as evidenced by: Based on records and interviews, for 2 of 2 residents (R1 and R2), Licensee did not ensure that their record of care contained the name, address, and telephone number for both their respective current dentist and physician. This posed a potential health risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the hot water was measured at 141.5 and 143.2 degrees F in bathrooms for resident use which poses an immediate safety risk to 2 of 2 residents in care.

Incidental Medical and Dental Care. For every prescription and... PRN medication for which the licensee provides...shall be a signed... order....and label shall contain...The specific symptoms... hours between doses... maximum...doses allowed in...24-hour.This requirement was not met as evidenced by: Based on interviews and records reviews the Licensee did not maintain a signed written order for Resident 1 [R1] in care.This posed a potential health risk to 1 out of 6 residents in care

The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis...This requirement was not met as evidenced by: Based on staff and outside source interviews and records reviews revealed the Licensee did not immediately telephone 911 after Resident 1 (R1) sustained an injury deemed an imminent threat to their health.This posed an immediate safety risk to [R1] 1 out of 6 residents in care.

Incidental Medical and Dental Care. A plan for...medical...care shall be developed by each facility. The plan shall ... provide...obtaining such care, compliance with...the Licensee shall arrange...medical...care appropriate to the conditions and needs of residents.This requirement was not met as evidenced by: Based on interviews and records reviews the Licensee did not arrange medical care for Resident 1 (R1) that was appropriate to their condition.This posed a potential health risk to 1 out of 6 residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights:(11)To have their visitors, in...permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.This regulation was not met as evidenced by: Based on interviews and observations Resident 1 [R1] in care was not afforded a reasonable level of visits at the facility.This posed a potential personal rights risk to [R1] 1 out of # in care.

Incidental Medical Care (a) A plan for incidental medical... shall be developed...in compliance with the following: (e)...written order from a physician, on a... the residents file, and a label...physician's order and the label shall contain....(2) The exact dosage.This requirement was not met as evidenced by: A facility records review revealed Resident1 did not have all health care orders regarding medication on file.This posed a potential heath risk for 1 out of 4 residents in care.

Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained ...in the facility or...central... location readily available to facility staff and to licensing agency staff.This requirement was not met as evidence by: Based in LPA's interviews and records reviews staff did not maintain complete records for Resident1. This posed a potential heath risk for 1 out of 4 residents in care.

General Food Service Requirements: All food shall be...stored...in a safe and healthful manner (b) (27) All kitchen areas shall be..clean and free...vermin and insects. This requirement is not met as evidence by: Based on LPA observations, Licensee had an infestation at the facility. This posed a potential health risk to 2 out of 2 residents in care.