Chateau Sabelle

87705(c)(5) Care of Persons with Dementia - Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This regulation has not been met as evidenced by: Based on records reviewed, LPA observed that the physician's report for R2 and R3 is not current. Residents with dementia require a new physicians report annually. This poses an immediate health and safety risk to resident in care.

Keep prescriptions in original containers

INCIDENTAL MEDICAL CAREEach resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement is not met, as 7 plastic medisets are observed with clients' meds in small plastic containers. Each mediset contains 6 clients' meds for one day. Licensee failed to ensure that medications are maintained in originally received container, which poses a potential health, safety or personal rights risk to clients in care.

Record centrally stored prescriptions and refill data

INCIDENTAL MEDICAL CAREA record of centrally stored prescription medications for each resident shall be maintained and include names of the resident for whom prescribed, prescribing physician and pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions: This requirement was not met, as 4 Rx medications for client #6 and 1 med and 4 OTC supplements for client #5 are not recorded on Centrally Stored Medications Records. Licensee failed to ensure meds are logged in CSMRs, which poses a potential health, safety or personal rights risk.

POSTURAL SUPPORTSBed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met, as 3 residents are observed with 2 half bed rails on their beds, forming full bed rails. Licensee failed to prohibit use of full bed rails, which poses an immediate health, safety or personal rights risk to clients in care. Clients #1, #2, #3 are observed with 2 half bed rails on their beds; C3 has 2 half rails on one side of the bed only.