Complaint·September 5, 2025

Citations

6 citations recorded^*CCLD

• 87468.2(a)(8)Type B

  Right to freedom from abuse and neglect

  87468.2 (a)(8) Additional Personal Rights of Residents in All Facilities: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.… this requirement was not met as evidence by: Based on interviews, staff yelled while working at the facility which affected 5 of 5 resident in care which posed a potential personal rights risk to 5 of 5 residents in care.

• 87307(a)(3)(C)Type A

  Clean linen quantity and hygiene supplies

  87307 (a)(3)(C) Personal Accommodations and Services: (C) Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. The linen shall be in good repair. The use of common wash cloths and towels shall be prohibited..… this requirement was not met as evidence by: Based on LPA observations, residents bedspread had fecal matter on top of R3s bed which posed a potential health risk to 1 of 5 residents in care.

• 87411(a)Type A

  Facility personnel sufficiency and competence

  87411 (a) Personnel Requirements - General: (a) Facility 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 evidence by: Based on interviews, staff covered 2 shifts at the facility but the third shift was not being scheduled to be covered which posed a potential potential safety risk to 5 of 5 residents in care.

• 87465(c)(2)Type A

  Give PRN medication by physician order

  87465 (c)(2) Incidental Medical and Dental Care: (2) Once ordered by the physician the medication is given according to the physician's directions..… this requirement was not met as evidence by: Based on observation, staff did not provide medications as prescribed for R1, [1 of 5] residents in care which posed a potential health risk to 1 of 5 residents in care.

• 87468.2(a)(6)Type A

  87468.2 (a)(6) Additional Personal Rights of Residents in All Facilities: (6) To make choices concerning their daily lives in the facility.… this requirement was not met as evidence by: Based on interviews with staff and residents, it was confirmed that residents are being sent to their rooms by 6:00 PM for 5 of 5 resident in care which posed a potential personal rights risk to 5 of 5 residents in care.

• 87625(b)(3)Type A

  Maintain cleanliness and prevent incontinence odors

  87625 (b)(3) Managed Incontinence: (3) Ensuring that incontinent residents are kept clean and dry, and that the facility remains free of odors from incontinence.… this requirement was not met as evidence by: Based on LPA observations and interviews, resident R3 was malodorous (of urine) during their interview, which posed a potential personal rights risk to 1 of 5 residents in care.

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