Grossmont Gardens Memory Care

87211(a) (1) A written report shall be submitted to the.. person responsible for the resident within seven days of the occurrence..(d) Any incident which threatens the welfare, safety or health of any resident.. This is evidenced by: Based on staff interviews and record review, the licensee did not submit a written report of the incident within seven (7) days for 1 of 61 persons in care (R1), to the ALW placement agency which posses risk to the health, safety, and personal rights of persons in care.

87303 Maintenance and Operation (i)(1)Facilities shall have signal systems which shall meet the following criteria: All facilities licensed for 16 or more.. shall have a signal system... This requirement was not met in evidence as: Based on observation/interview/record review the licensee did not maintain a operational signal system for 60 of 60 persons in care which posed a potential Health, Safety, or Personal Rights risk to persons in care

87465(a) A plan for incidental medical ...(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met, as evidenced by: Based on record review and interviews, one (1) out of sixty (60) residents did not receive proper assistance with thier (R1) self administered medications, which posed a potential health and safety risk to residents in care.

(f) Basic services shall at a minimum include:(4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing...This requirement was not met as evidenced by: Based on records and interviews, the licensee did not provide personal assistance and care as needed in one (1) of eighty-seven (87) persons in care (R1), which posed an immediate safety risk to persons in care.

Facilities must ensure a plan for medical care, and residents receive the necessary medical care for their conditions and needs.This requirement was not met, as evidenced by: Based on observations, interviews, and records reviewed, one (1) out of sixty (60) residents did not receive the necessary medical care for their (R1) condition, which posed an immediate safety risk to persons in care.

Residents in all residential care facilities for the elderly shall have...the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature…This requirement was not met as evidence by; Based on interviews and records reviewed licensee did not provide resident rights to two (2) of sixty three (62) persons in care which posed a potential Health and Safety risk to person in care.

Type B CCR 87465(a)(1)A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical …The licensee shall arrange, or assist in arranging, for medical…appropriate to the conditions and needs of residents. This requirement was not met as evidenced by:Based on records review and interviews, facility personnel did not provide basic care services to (R1) one out of 62 residents. This posed a potiential health risk to a resident in care.

87468.1 Personal Rights of Residents in All Facilities: “(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff...” This requirement was not met, as evidenced by: Based on records and interviews, Licensee’s staff (S1) did not treat 2 of 56 residents (R1 and R3) with dignity, which posed a potential personal rights 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: (1) To have a reasonable level of personal privacy in…personal care and assistance…” This requirement was not met, as evidenced by: Based on records and interviews, Licensee’s staff (S1) did not uphold the personal privacy of 1 of 56 residents (R3), which posed a potential personal rights risk to persons in care.

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 be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews the licensee did not ensure residents had comfortable accommodations for 10 out of 52 [R1-R10] residents in care which posed a potential health and personal rights risk to residents.