Mariner's Green Residential Care

Facility must clear fire safety for bedridden persons

Based on record reviewed, resident 2 (R2) in Room 2 was observed to be bedridden per physician's report, however according to the facility license, facility does not have a fire clearance for bedridden residents which poses an immediate health, safety or personal rights risk to persons in care. An immediate $500.00 civil penalty is being issued during the visit.

Based on observations and record review, resident 5 (R5) in room #5 had a bed with a full bed rail, however is not on hospice which poses an immediate health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observations and records reviewed, Resident rooms #1, #2, and #4 had beds equipped with half bed rails and room #5 to be equipped with a full bed rail. The residents in the specified with bed rails did not have a physician's order for it which poses an immediate health, safety or personal rights risk to persons in care.

Requirement for building permit before construction

Based on observations, LPA toured the garage and observed storage cabinets built which poses a potential health, safety or personal rights risk to persons in care.

Mark taps at high-temperature threshold

Based on observation, the licensee did not comply with the section cited above as water temperature throughout the facility bathrooms measured between 144.8- 152.9 degrees F and water temperature in the kitchen measured at 124.7 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Modified diets for medical necessity

Based on record review, the licensee did not comply with the section cited above as LPA observed a resident to be allergic to dairy based on physician's report, however facility provided resident with milk for breakfast which poses/posed a potential health, safety or personal rights risk to persons in care.

Food quality controls and rejected damaged goods

Based on observations, the licensee did not comply with the section cited above as LPA observed an expired gallon of milk in the fridge which poses/posed a potential health, safety or personal rights risk to persons in care.

Regular representative updates on care

87468.1 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: (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.Violation of this regulation is not met as evidenced by: Based on the interviews conducted, the Administrator admitted to not asking or receiving consent from a resident's (R1's) responsible party prior to administering a liquid drink to take as a supplement.consent from R1's responsible party which poses a potential health and safety risks to residents in care.

Require physician order and label for PRN medication

87465 Incidental Medical and Dental Care: (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file...Violation of this regulation is not met as evidenced by: Based on the interviews conducted, the Administrator admitted to administering R1 fluids without a consent from R1's responsible party which poses a potential health and safety risks to residents in care.

Care and supervision as defined by statute and rules

87464(f)(1) Basic Services(f)- Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This requirement is not met as evidenced by: based on interviews and documentation, Licensee did not ensure basic services were being met, due to lack of supervision allowing resident to AWOL, which poses an immediate health, safety and personal rights risk to residents