Mesaview Senior Assisted Living

Facilities must ensure a plan for medical care, and residents receive the necessary medical care for their conditions and needs of residents.This requirement was not met as evidence by; Based on observations, interviews and records reviewed that one (1) out of twenty-eight (28) the licensee did not receive the necessary medical care for their condition

Incidental Medical 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..This requirement was not met, as evidenced by: Based on records review and interviews, the licensee did not accord incidental medical care to 1 out of 30 residents. This posed an immediate health and safety risk to persons in care.

Observation of the Resident, staff must observe residents for changes in condition and respond appropriately. (The licensee shall ensure that residents are regularly observed for changes in physical,mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or 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 review and interviews, the licensee did not observe the resident for changes in 1 out of 30 residents. This posed an immediate health and safety risk to persons in care.

Basic Services. The facility shall be responsible for meeting the resident's needs, as specified in Section 87457, Pre-admission Appraisal and providing the other basic services…This requirement was not met as evidenced by: Based on record review and interviews, Licensee did not provide basic services, as specified in Section 87457, for 1 of 28 residents in care [R1]. This posed a potential health risk to residents in care.

Facilities shall have signal systems...All facilities licensed for 16 or more...shall have a signal system which shall: Operate from each resident's living unit. Transmit a visual and/or auditory signal to a central staffed location...loud enough to summon staff. This requirement was not met as evidenced by: Based on LPA direct observation the licensee did not have a functional signal system for 27 of 28 persons in care which posed a potential health and safety risk to persons in care.

Personal Rights. Each clients has the right to be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by:On 4/12/24 1 out of 29 residents was observed with a gait belt around the wheelchair and body. The gait belt around the wheelchair and body was a restraint and a violation of the resident's personal rights. This poses a potential safety risk to clients in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: “(a)…residents in privately operated residential care facilities shall have all of the following rights: …(8) To be free from…financial exploitation…” This requirement was not met, as evidenced by: Based on interviews and records, licensee did not ensure that resident (R1) was free from the financial exploitation of their staff (S1), while R1 was under licensee’s supervision. This posed an immediate personal rights risk to 1 of 28 residents in care.