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Inspection visit

Follow-up on corrections

OAKMONT OF LODILicense 3927012723 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

An unannounced case management visit was conducted by the Licensing Program Analyst (LPA) Avelina Martinez on 01/17/2024 at 9:15 AM. LPA Martinez met with Andrea Armstrong and explain the purpose of the visit. The purpose of the visit is to follow up on learned deficiencies during complaint investigation 27-AS-20231114094113. Based to the investigation, the following deficiencies were learned: reporting requirements and incidental and medical. During 27-AS-20231114094113 investigation, it was revealed on November 24, 2023 at the AM shift, resident 1 (R1) was missing one 5-325 MG Hydrocodone tablet. An incident report was not provided to CCLD. The Hydrocodone 5-325 MG medication prescription was received on 11/12/2023 with 112 tablets. The first Hydrocodone tablet administered was on 11/12/2023 at 6:00 PM. The last Hydrocodone tablet administered was on 12/10/2023 at 7:00 AM. The facility requested an emergency supply of Hydrocodone on 12/10/2023 at 3:24 PM. R1's December 2023 Medication Administration Records (MAR) reported Acetaminophen 500 MG was administered on 12/10/2023 at 6:22 PM for pain. On 12/11/2023 at 7:26 AM Acetaminophen 500 MG was administered for pain, however, notes indicate R1 was still in a lot of pain. It was learned Hydrocodone was delivered on 12/11/2023, and the first Hydrocodone tablet administered was on 12/11/2023 at 6:00 PM. As a result, the facility did not follow Hydrocodone prescription orders and did not assist R1 with self administered medications as needed. Additionally, According to R1's November 2023 MAR, the following medications were not administered on November 16, 2023: Anastrozole 1 MG, Atorvastatin 10 MG, Docusate Sodium 100 MG, Hydrocodone-Acetamin 5-325 MG, Lisinopril 20 MG, and Metoprolol Tartrate 50 MG. Moreover, on November 23, 2023 Anastrozole 1 MG and Lisinopril 20 MG were not administered. In addition, the facility self reported to CCLD that staff administered the wrong medication to resident 2 (R2) on December 24, 2023. On December 24, 2023, resident 3 (R3) was administered the wrong medication, which was reported to CCLD by the facility. Continued... As a result, facility staff did not assist residents with self administered medications as needed. Due to this case management, The following deficiencies were observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. An exit interview was conducted, and a copy of the 809 report and appeal rights were given to the facility.

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 other inspection of OAKMONT OF LODI on January 17, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

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

Yes, 3 citations were issued (1 Type A, 2 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 other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.