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Inspection visit

complaint

OAKS AT NIPOMO, THELicense 4058095474 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On the allegation: Licensee did not ensure that changes in the resident were brought to the attention of resident's responsible person in a timely manner. LPA conducted interviews with witnesses which revealed 5/8 witnesses stating the communications concerning residents and their care has not been timely or has not been communicated at all to responsible parties. Based on the evidence this allegation is deemed Substantiated at this time. On the allegation: Licensee did not ensure that changes in the resident were documented. LPA interviewed witnesses and staff which revealed 5/8 witnesses requested records or documentation that was not provided to them. 5/6 staff say charting and notes are being done but not on all shifts all the time and feel being shorthanded is the main reason why not all duties are completed by the end of shifts daily. Based on the evidence this allegation is deemed Substantiated at this time. On the allegation: Staff did not meet the resident's hygiene and/or showering needs. LPA conducted interviews which revealed 5/6 staff, 5/8 witnesses and 2/6 residents stated in the memory care unit staff are shorthanded, showers are not getting completed as scheduled, Residents hair is left greasy and unwashed, residents are wearing clothing that does not belong to them and residents teeth are not being brushed. 5/6 staff stated that staffing is insufficient to get all residents services completed as scheduled, the residents are made to wait longer or refusing services due to staff running behind scheduled bathing/shower times. Based on the evidence this allegation is deemed Substantiated at this time. On the allegation: Staff did not meet the resident's incontinence needs. LPA interviewed staff which revealed 5/6 staff stated the incontinent residents should be checked every 2 hours and due to staff being short handed the residents are waiting longer to be checked and some residents have had to wait in wet briefs. Based on the evidence this allegation is deemed Substantiated at this time. Exit interview conducted, deficiencies cited, copy of report and appeal rights emailed to Administrator. On the allegation: Licensee did not ensure that changes in the resident were brought to the attention of physician in a timely manner. LPA interviewed Staff, Residents and Witnesses which did not reveal any known issues with residents’ doctors being notified about changes in residents. Based on the lack of evidence this allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of report emailed to Administrator.

Citations

6 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(a)Type A

    (a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs….facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by: Based on interviews with staff, witnesses and residents the licensee failed to comply with the regulation above Facility is insufficiently staffed to meet all the residents needs which poses and immediate Health, Safety and personal rights risk to residents in care.

  • 87464(f)(4)Type A

    (f)Basic services shall at a minimum include:(4)Personal assistance and care as needed by the resident…with those activities of daily living such as dressing, eating, bathing…This requirement was not met as evidenced by: Based on interviews with staff, witnesses and residents the licensee failed to comply with the regulation above residents are not getting bathing/showering needs met which poses and immediate Health, Safety and personal rights risk to residents in care.

  • 87468.1(a)(8)Type A

    (a)...(8)To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidence by: Based on Interviews the Licensee did not comply with the regulation above 5/8 witnesses were not kept informed by the facility regarding resident’s care needs which is an immediate personal rights risk to residents in care.

  • 87468.2(a)(4)Type A

    (a)...(4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Based on interviews the licensee did not comply with this regulation 5/6 witnesses 2/6 residents and 5/6 staff felt short staffing had led to missed showers and longer wait times, as well as some of the basic hygiene, teeth brushing, hair washing, and dressing is not being provided adequately to meet the residents needs which is an immediate personal rights risk to residents in care.

  • 87506(b)(13)Type B

    (b)...(13)Continuing record of any illness, injury, or medical or dental care, when it impacts the resident’s ability to function or needed services. This requirement was not met as evidenced by: Based on 5/8 witness interviews the licensee did not comply with the regulation above records or documentation were not provided when requested which possess a potential health and safety risk to residents in care.

  • 87625(b)(3)Type A

    (b)...(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 evidenced by: Based on staff and witness interviews the Licensee did not comply with the regulation above residents were left wet for longer periods of time due to staffing shortages which posses an immediate health and safety risk to residents in care

FAQ · About this visit

Common questions about this visit

What happened during the November 10, 2022 inspection of OAKS AT NIPOMO, THE?

This was a complaint inspection of OAKS AT NIPOMO, THE on November 10, 2022. 4 citations were issued: 3 Type A (serious) and 1 Type B.

Were any citations issued to OAKS AT NIPOMO, THE on November 10, 2022?

Yes, 4 citations were issued (3 Type A, 1 Type B). The first citation was for: "(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to me..."

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.