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Inspection visit

Incident investigation

CADENCE MILLBRAELicense 415601039
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 11/08/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident visit in response to an SOC 341 report received on 11/07/2024. LPA met with administrator Joan Newman and explained the purpose of today's visit. During today's visit LPA conducted interviews and collected pertinent documents regarding the resident. LPA also discussed the incident with the local long term care ombudsman assigned to this facility regarding the incident. Facility staff investigated the reported incident but could not come to any conclusions. The person in question as described by the resident, could not be a staff member as there are no staff matching the description of the supposed person. Male residents in the area also do not match the description provided. Facility does not have cameras in common areas of the facility. Per the facility the incident was reported to the hospice agency who then reported to the facility. As a precaution the facility has implemented a plan to assist the resident in order to prevent any issues in regards to males entering the resident's room. The facility has assigned no male staff to the resident, but if there is a male med-tech needs to visit the resident, they are to be accompanied a female care partner. The facility met with the family and they are aware and are working with the facility at this time. No further issues were discussed. No citations issued.

Citations

1 citation 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.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    87465(c)(2) Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This regulation has not been met as evidenced by: Based on interviews and documentation reviewed, LPA discovered that the medication was prescribed for the duration of 2024 but was stopped on two spans of time from 2/18/24 through 04/07/24 and 04/27/24 through 08/17/24 without documentation on file from the physician of the resident to discontinue.

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FAQ · About this visit

Common questions about this visit

What happened during the November 8, 2024 inspection of CADENCE MILLBRAE?

This was an other inspection of CADENCE MILLBRAE on November 8, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to CADENCE MILLBRAE on November 8, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was an 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.