Summer Place

87468.1 Personal Rights of Residents in All Facilities (a) Residents...shall have all of the following personal rights: (9) To have communications to the licensee from their representatives answered promptly and appropriately. This requirement was not met as evidenced by:Records review and interview with staff reveal that the licensee did not respond to R1's communication promptly. This poses a personal rights risk to R1.

87303 Maintenance and Operation(b)A comfortable temperature for residents shall be maintained...(1)... a minimum of 68 degrees F.This requirement was not met as evidenced by: Based on LPA observations licensee did not ensure comfortable facility temperature of a minimum of 68 degrees F. This poses a potential risk to persons in care.

87411 Personnel Requirements-General(c)...staff who assist residents...shall receive...annual training...(3)The training shall include...bathing, grooming, dressing, feeding, toileting, and infection control... This requirement was not met as evidenced by: Based off record review, 5 of 5 staff did not have up to date annual training. This poses a potential risk to persons in care.

Based on LPA observation, interview, and record review the licensee did not comply with the section cited above in former resident medications were not destroyed which poses a potential risk to persons in care.

87202 Fire Clearance (a) All facilities... Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (2) Bedridden persons...This requirement was not met as evidenced by: On November 24, 2025, LPA observations, and staff interviews showed R1, R2, R3, R4, R5, and R6 were bedridden and unable to turn and reposition themselves without assistance. The Licensee did not obtain appropriate fire clearance nor receive Community Care Licensing approval.This poses an immediate health and safety risk to 6 out of 10 of residents in care.

87506 Resident Records(c)All information and records...shall be confidential(1)The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents… This requirement has not been met as evidenced by: Based on LPA observations, licensee did not ensure 10 of 10 resident records were not safegaurded. This posed a potential personal rights risk to persons in care.

87211 Reporting Requirements(a)Each licensee shall furnish to the licensing agency such reports...(1)A written report shall be submitted to the licensing agency ....(D)Any incident which threatens the welfare, safety or health of any resident... This requirment has not been met as evidenced by: Staff interviews and records review revealed that Licensee did not submit written reports for 1 of 10 resdients when hospitalized. This poses a potnetial risk to 1 of 10 resdients in care.

87465 Incidental Medical and Dental Care(h)The following...shall apply...(6)The licensee shall be responsible for assuring that a record of centrally stored...medications for each resident is maintained for at least one year This requirment has not been met as evidenced by:Based on records review licensee did not keep proper medication record for 1 of 10 resdients prior to 10/30/25. This posed a potential risk to persons in care.

Based on LPA observation and staff interviews, the licensee did not comply with the section cited above in 10 out of 10 residents medications are not stored in their original packaging which poses/posed a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (h)The following...shall apply to medications...(5)...shall be stored in its originally received container. No medications shall be transferred... This requirement is not met as evidenced by: Based upon LPA observation and staff interview, the licensee did not comply with the above cited section in that 10 out of 10 residents medications are not stored in the original packaging. This poses a potential health and safety risk to residents in care.