Carlsbad Village Senior Living

87463 Reappraisals(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition... (1) Significant changes in condition, as defined in Section 87101, Definitions, include, (D) A mental or social trauma, such as the loss of a loved one. Based on observation, interview, and record review, the licensee did not ensure that resident received a reappraisal after significant change in condition, which posed a potential Health, Safety, and Personal rights risks to 1 of 91 persons in care.

87468.2 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: (14) To reasonable accommodation of their individual needs and preferences in all aspects of life in the facility…” This requirement was not met, as evidenced by: Based on records review and interviews, Licensee did not reasonably accommodate the individual need/preference of 1 of 93 residents (R1) regarding their life at the facility, when the specific accommodation that R1 requested was reasonable with respect to safety. This posed a potential personal rights risk to persons in care.

87211 Reporting Requirements (a)(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... This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not submit an incident report to the Department regarding R1's fall. This poses an potential safety risk to 109 of 109 residents in care.

The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not update the appraisal to note significant changes and did not keep the appraisal accurate in 1 of 100 persons in care (R1) which posed an immediate Health and Safety risk to persons in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be accorded safe, healthful and comfortable accommodations. This requirement was not met as evidenced by: Based on interviews, the licensee did not accord safe, healthful and comfortable accommodations for 1 out of 100 persons in care (R1) which posed an immediate Health and Safety risk to persons in care.

Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Based on interviews and record review, the staff did not ensure R1 received the correct medication for one (1) out of 81 (eighty-one) residents. This posed a potential health and safety risk to residents in care.