Novellus Clairemont Llc

Based on records review, the licensee did not comply with the section cited above in ensuring care staff members S1 and S2 completed training on required topics, which poses a potential health, safety and personal rights risk to 89 out of 89 persons in care.

Facility must clear fire safety for bedridden persons

Based on interviews and file review, the licensee did not comply with the section cited above in ensuring a bedridden resident (R1) resided in a bedridden approved room, which posed a potential health and safety risk to 1 out of 89 persons in care.

Limit operations to licensed capacity

Based on file review, the licensee did not comply with the section cited above by retaining a resident (identified as R1) with a Dementia diagnosis, which poses a potential health, safety and personal rights risk to 1 out of 89 persons in care.

Section 87463 (e) – ReappraisalsThe licensee shall immediately, or as soon as reasonably possible, bring any significant change in condition to the attention of the appropriate licensed medical professional. This requirement was not met as evidenced by: Based on observations, records review, and interviews with staff and outside sources, staff neglect resulted in the resident's (R1) hospitalization. This posed an immediate health, safety, and personal rights risk to one 1 of 84 residents in care.

Check incontinent residents during high-risk periods

Section 87625(b)(2) – Managed Incontinence. In addition to Section 87611, …the licensee shall be responsible for the following:Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This requirement was not met as evidenced by: Based on records review, interviews with staff, and outside sources, the licensee did not provide incontinent care to meet R1’s needs. This posed a potential health, safety and personal 4risk to one 1 of 84 residents in care.

Regular observation and documentation of resident changes

Section 87466 – Observation of the Resident. The licensee shall ensure residents are regularly observed…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. This requirement was not met as evidenced by: Based on observations, records review, and interviews with staff and outside sources, the licensee did not seek medical attention to meet the resident's needs (R1). This posed a potential health, safety, and personal risk to one 1 of 84 residents in care.

Facility personnel sufficiency and competence

87411(a) Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and observations, the licensee failed to maintain a sufficient number of staff to meet residents’ needs. This posed a potential personal rights risk to 69 residents in care.

Give PRN medication by physician order

87465(c)(2) Incidental Medical and Dental CareOnce ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on observations and interviews with staff and external sources, the licensee failed to ensure medications were administered as ordered. This posed a potential health risk to 69 residents in care.

Maintain comfortable room temperature at all times

87303 Maintenance and Operation (b)A comfortable temperature for residents shall be maintained at all times.This requirement was not met as evidenced by: Based on interviews, the licensee did not ensure the dining room was maintaned at a comfortable temperature, which posed a potential health, safety, and personal rights risk to all residents in care.

1569.652Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds. (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. This requirement was not met as evidenced by: Based on interviews and review of records, the Licensee did not ensure fees were refunded within 15 days after R1's personal property was removed, which posed a potentilal health, safety, and personal rights risk to 1 of 74 residents.