Sandhill Assisted Living Llc

Arrange appropriate medical and dental care

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This was not met as evidenced by:Based on interviews, R1 was not provided timely medical care due to Licensee took two days after UTI home test before R1 was able to talk to a physician, which poses an immediate health, safety, and personal rights risk to persons in care.

Facility personnel sufficiency and competence

87411 Personnel Requirements – General (a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents... This requirement was not met as evidenced by: Based on interviews, observations and records review, there was not enough staff member scheduled to cater to the resident’s care which poses an immediate health, safety, and personal rights risk to persons in care.

Based on records review, the licensee did not comply with the section cited above due R1, R2, R3s admission agreements have a clause regarding not providing refund of fees upon death, which poses/posed a potential health, safety or personal rights risk to persons in care.

Onsite food stock levels for nonperishables and perishables

87555 General Food Service Requirements (b) The following food service requirements shall apply: (26)Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Based on observation, there was not enough supply of canned good and 7-day non-perishable foods, which poses an immediate health, safety, and personal rights risk to persons in care.

Based on record reviews and interviews, the licensee did not comply with the section cited above due incident not being reported to CCLD which poses a potential health, safety or personal rights risk to persons in care.

87705(c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care staff...(A)In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents... This requirement was not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the section cited above due to R1 having wandering behaviors but Licensee did not schedule nigh supervision which poses an immediate health, safety or personal rights risk to persons in care.

87705 (c)Licensees who accept and retain residents with dementia...(5)Each resident with dementia shall have an annual medical assessment... (A) When any medical assessment, appraisal, or observation indicates that the resident’s dementia care needs have changed... This requirement was not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the section cited above due to R1 not being reassesed after the elopement which poses an immediate health, safety or personal rights risk to persons in care.

Amended 87705(h)Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents.This requirement was not met as evidenced by: Based on ord reviews and interviews, the licensee did not comply with the section cited above due resident with dementia being able to leave facility unassited which poses an immediate health, safety or personal rights risk to persons in care.

Amended to Type A 87211(a) Each licensee shall furnish... such reports... including, but not limited to, the following: (1)A written report shall be submitted to the licensing agency...(D)Any incident which threatens the welfare...or unexplained absence of any resident. This requirement was not met as evidenced by: Based on record reviews and interviews, the licensee did not comply with the section cited above due incidents not being reported to CCLD which poses an immediate health, safety or personal rights risk to persons in care.

Maintain an approved first aid kit on-site

87465 Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed by each facility...8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available.... This requirment is not met as evicenced by: the facility did not have a first aid kit for LPA to inspect during the pre-licensing inpsection which poses a potential health risk to residents in care.