The Oaks at Paso Robles

Personal Rights of Residents in All Facilities (a) Residents… shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interview, the Licensee did not ensure R1 was accorded dignity when staff spoke inappropriately to R1 which poses an immediate health, safety, and personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above when 19 medications were not documented on resident Centrally Stored Medication Records which poses a potential health and safety risk to persons in care.

(a)... residents...shall have all of the following personal rights: (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 interview and record review, the licensee did not ensure there was staff in sufficient numbers to meet the needs of all the resident’s in care, including R1 who sustained poor hygiene and multiple UTIs which poses an immediate Health, Safety, and Personal Rights risk to persons in care.

Staff training; legislative findings; contents(b)(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not ensure S1 was provided dementia training prior to working in the memory care unit which poses a potential Health and Safety risk to persons in care.

Care of Persons with Dementia (e)Licensees that use delayed egress devices on exterior doors…shall meet the following…continuing requirements: (6)For each incident of elopement…the licensee shall report the incident to: (B)The licensing agency Officer of the Day…no later than the next working day following the incident... This requirement was not met as evidenced by:Based on interview and record review, the licensee did not notify the licensing agency until nine days after the incident which poses a potential Health and Safety risk to persons in care.

Personal Accommodations and Services (a)…The following provisions shall apply: (3)...supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident....if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (D) Hygiene items of general use such as soap and toilet paper. This requirement was not met as evidenced by: Based on observation, interviews, and information obtained, the licensee did not ensure soap and toilet paper necessary for maintenance of adequate hygiene practice...

Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above when 7 rooms had stained/soiled linens, and when LPA noted R3's room with an odor and in disrepair which poses a potential health, safety, and personal rights risk to clients in care.

(a)... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (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 and record review, the licensee did not comply with the section cited above when 6 of 7 residents stated they wait for staff to respond, 130 call response times were

87465(h)(6) Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained... This requirement was not met as evidenced by:Based on record review, the licensee did not comply with the section cited above when R2's lorazepam and oxycodone were not centrally stored on the Centrally Stored Medications Record.

87465(a)(4) Incidental Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when S1 gave R1 the wrong medications, which posed an immediate health and safety risk to residents in care.

(a)A 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: (6)When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. By evidence of S1 stating that R1's Centraly Stored Medication Records (CSMR) had been shreeded, which poses in immanent danger to Resident in care.

87625 Managed Incontinence (b)…Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(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 by evidence of “ammonia like smell” in R1’s room and poses a potential risk to residents in care.

87465 Incidental Medical and Dental Care (a)A 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 ... (1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. The requirement was not met by evidence of R1 missing hundreds of medication passes which puts the Resident in immanent danger.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met by evidence of Administrator allowing F1 to circumvent COVID-19 screening for two months or more, which posed a potential health risk to all residents in care.