The Commons at Union Ranch

87468 Personal Rights(a) Residents in residential care facilities for the elderly shall have personal rights which include, but are not limited to, those listed in Sections 87468.1, Personal Rights of Residents in All Facilities, and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. Based on incident report received from the facility and interview with administrator there is no dispute that R1 was struck by R2 which caused an injury to R1.This poses a potential health, safety or personal rights risk to persons in care.

87411(a)- Personnel Requirements - General-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met by records review. R-1 AWOL'd from the facility. The LIC 602 states the resident was not allowed to leave the facility unassisted. This presents an immediate health and safety risk to the resident in care.

Based on record review, the licensee did not comply with the section cited above in [2] out of [7] facility personnel files did not contain initial/annual training hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the kitchen cabinet drawers were in need of repair and a broken chair was set out in the memory care courtyard which poses/posed a potential health, safety or personal rights risk to persons in care.

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 facility was found to be deficient as evidenced by the improper transfer of a facility resident by facility staff from their wheelchair onto their bed. This posed an immediate threat the Health, Safety, and Personal Rights of all residents in care.

Based on record review, the licensee did not comply with the section cited above in [1] out of [8] facility personnel records was not properly cleared for TB by a licensed medical professional which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in [7] out of [8] facility resident files were incomplete missing required forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in [1] out of [8] facility resident records did not have an updated annual medical assessment to address care of persons diagnosed with dementia which poses an immediate health, safety or personal rights risk to persons in care.

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, residents, and other persons.This facility was found to be deficient as evidenced by findings that facility staff did make an inappropriate comment in regards to a facility resident in care. This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

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.

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.

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.

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.

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, Postural Supports. This facility did not meet this requirement as evidenced by not following the assistance and care needs of the residents as indicated in their pre-admission appraisal for assistance in meals, food allergies, and eating. This presented an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Incidental Medical and Dental CareA plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(1) The licensee shall arrange, or assist inarranging, for medical and dental care appropriate to the conditions and needs of residents.This facility was deficient as evidenced by not following the discontinuance notice for a prescribed medication provided by the attending physician for a facility resident. This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

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, Postural Supports. This facility did not meet this requirement as evidenced by not following the assistance and care needs of the residents as indicated in their pre-admission appraisal for proper hygiene care and laundry service. This presented a potential threat to the Health, Safety, and Personal Rights of the residents in care.

Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff.This facility was observed to be deficient as evidenced by the reports of several thefts and loss suffered by several residents while under the care and supervision of this facility. This posed a potential threat to the Health, Safety, and Personal Rights of the residents in care.

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, Postural Supports. This facility did not meet this requirement as evidenced by not following the assistance and care needs of the residents as indicated in their pre-admission appraisal for assistance in meals and eating. This presented a potential threat to the Health, Safety, and Personal Rights of the residents in care.

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. This facility was observed to be deficient as evidenced by the lack of staff to properly respond to residents' activation of their pendants in a timely manner.This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

87465(c)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on observation and records review, the Licensee did not ensure medications ordered for residents are given as prescribed which posses an immediate health and safety risk to residents in care.

Basic Services (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 and assistance with taking prescribed medications...This requirement was not met as evidenced by: Staff interviews and reviews of the resident's (R-1) care plan called for a two person assist and only one staff member was assisting the resident during a transfer and the resident fell. The resident landed on the floor, was taken to the hospital and was diagnosed with a fractured hip. This is an immediate health and safety risk to residents in care.