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Inspection visit

complaint

OAKMONT OF LODILicense 3927012722 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

As a result, the facility was not monitoring/ensuring R1's general health, safety, and well-being needs were being met. Moreover, the investigation revealed the facility was short staff during the AM shift (6:00 AM to 2:30 PM). During the AM shift, there was one med-tech and one care staff assigned to the Assisted Living unit. Throughout the investigation, LPA Martinez was informed AM staff did not check on R1. Additionally, R1 missed breakfast and lunch, and facility staff did not check on R1 after the missing meals. Facility staff conducted a safety check after the facility concierge received a phone call from R1's responsible party (RP). Care staff provided first aid care, assisted R1 off the ground, and helped dress R1. Facility staff called 911 after resident was found on the floor for an undetermined amount of hours. Due to the fact that the facility did not provide basic services to R1, the facility did not provided timely medical attentio n. As a result of this investigation, the Department finds these allegations to be Substantiated. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the evidence standard has been met. Deficiencies cited on the LIC 9099-D page, per Title 22 Regulations. Due to R1 sustaining serious bodily injury, the violation warrants civil penalty assessments. At this time, the civil penalty assessments are under review, and a civil penalty determination is pending by the Department. Once civil penalty assessments have been determined, an LPA will return at a future date to assess the civil penalties. An immediate $500.00 civil penalty shall be assessed on January 17, 2024; based on the fact the facility failed to provide basic care services to R1, which posed an immediate threat to the Health, Safety, and Personal Rights of R1. Please refer to 9099-D page for civil penalty: 1569.312(e) Basic services requirements. An exit interview was conducted, and a copy of this 9099 report, LIC 9099-D, and appeal rights were provided to the facility. Failure to correct any deficiencies by plan of correction due dates may result in civil penalties.

Citations

5 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.

  • 1569.312(e)Type A

    1569.312(e) Basic services requirements: Every facility required to be licensed under this chapter shall provide at least the following basic services: Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidence by: Based on file review and interviews, the Licensee did not ensure R1 was monitored daily. R1 was found on the ground unable to get up from the floor for hours due to lack of monitoring/basic services. This posed an immediate health and safety risk to R1.

  • 87211(a)(1)(D)Type B

    87211(a)(1)(D)Reporting Requirements each licensee shall furnish to the licensing agency such reports...Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: based on interviews and file review the facility did not submit incident reports in regards to medication errors. This posed a potential health and safety risk to R1.

  • 87465(6)Type B

    87465(6)Incidental Medical and Dental Care The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... This requirement was not met as evidence by: Based on interviews and file reviews, The Licensee did not ensure MARs were being maintained for R1, R2, and R3. This posed a potential health and safety risk to residents in care.

  • 87465(a)(4)Type A

    87465(a)(4) Incidental Medical and Dental Care: A plan for incidental medical and dental care shall be developed by each facility...The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on file review and interviews, The licensee did not ensure staff were administering R1, R2, and R3's medication as required and did not ensure staff were administering the correct medication to R2 and R3. This posed an immediate health and safety risk to R1, R2, and R3.

  • 87465(g)Type A

    87465(g) Incidental Medical and Dental Care The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health...This requirement was not met as evidence by. Based on file review and interviews, The Licensee did not ensure to seek timely medical attention for R1. R1 was not monitored/check on 10/27/23 and when R1 was checked on R1 was found naked on the ground, and R1 was on the ground for an undetermined amount of hours. This posed an immediate health and safety risk to R1.

FAQ · About this visit

Common questions about this visit

What happened during the January 17, 2024 inspection of OAKMONT OF LODI?

This was a complaint inspection of OAKMONT OF LODI on January 17, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to OAKMONT OF LODI on January 17, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "1569.312(e) Basic services requirements: Every facility required to be licensed under this chapter shall provide at leas..."

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.