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Inspection visit

complaint

COMMONS AT UNION RANCH, THELicense 3927003663 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

the process quicker. This would eventually lead the staff person to raise their voice in further attempts to gain assistance from the resident. It was learned that this type of treatment, verbal and physical, from the attending staff person left the residents feeling intimidated, stressed, and mistreated. Based on interviews and the evidence that was gathered throughout the course of this investigation, it was learned that facility staff were required to acknowledge and respond to the call buttons once activated by the residents. It was learned that these types of call button activations ranged from requiring assistance in toileting, transferring in/out of bed, or flat out emergencies from falls or injuries. It was learned that facility staff were required to respond as quick as possible since it was unknown as to the reasons for the call button activations and facility staff persons were to never exceed a response time of more than 10 minutes. It was learned that all call button activations were monitored and recorded upon initial activation up until the responding staff person was able to properly reset it in the residents room or personal pendant. Based on a review of the facility call logs obtained for the months of August 2023, September 2023, and October 2023 it was learned that there were a total of 1,156 call button activations in the Memory Care unit of this facility. Of those 1,156 call button activations roughly 176 were responded to by facility staff but those responses were all in excess of 10 minutes or more. This equated to a 15 percent response time by facility staff that were in excess of 10 minutes or more. It was learned that in that time span there also were documented response times that even exceeded the one hour mark as well. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegations were valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. Appeal rights were printed and a copy was left with the facility designated Administrator at this time. Exit Interview

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87411(d)(3)Type A

    All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents.This facility was found to be deficient as evidenced by staff persons not responding in a timely manner when residents activated their call buttons, often times, exceeding more than 10 minutes which posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

  • 87468.1(a)(1)Type A

    Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be accorded dignity in their personal relationships with staff, residents, and other persons.This facility was found to be deficient as evidenced by staff persons handling residents roughly when attempting to assist them with their Activities of Daily Living (ADLs). This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

  • 87464(f)(4)Type A

    Basic services shall at a minimum include: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 and assistance with taking prescribed medications, as specified in Section 87608. This facility was found to be deficient as evidenced by a facility resident sustaining (2) separate falls even though their initial assessment required a caregiver to be present at all times while showering posing an immediate threat to the Health, Safety, and Personal Rights of residents in care.

  • 87468.1(a)(3)Type A

    Residents in all residential care facilities for the elderly shall have all of the following personal rights:To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.This facility was found to be deficient as evidenced by staff persons speaking inappropriately when attempting to assist residents with their Activities of Daily Living (ADLs). This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 16, 2023 inspection of COMMONS AT UNION RANCH, THE?

This was a complaint inspection of COMMONS AT UNION RANCH, THE on November 16, 2023. 3 citations were issued: 3 Type A (serious).

Were any citations issued to COMMONS AT UNION RANCH, THE on November 16, 2023?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "All personnel shall be given on the job training or have related experience in the job assigned to them. This training ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.