Lovely Care Home

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilities(a)(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 interviews conducted, facility staff S1-S3 and ADM admitted to putting multiple diapers on resident R1 and R2. S1, S2 and ADM admitted that R1 feet were tied. This poses an immediate threat to residents health, safety and personal rights.

1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, staff S1, S2 and ADM admitted that resident R1 feet were tied because he/she was being combative when he/she was being changed. This poses an immediate threat to residents health, safety and personal rights.

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: Based on interviews conducted, facility staff admitted that R1 was tied and they should have reported it. Based on records reviewed, the facility did not submit an incident report for the incident where R1 was tied. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Conformance with applicable laws and regulations

87405 Administrator - Qualifications and Duties (d) (2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement was not met as evidenced by; Based on interviews conducted, ADM admitted to tying R1’s feet, due to R1 being combative when he/she is being changed and the deficiencies cited during this complaint investigation. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Update reappraisal at required intervals

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, … shall be updated in writing as frequently as necessary … keep the appraisal accurate…This requirement was not met as evidenced by; Based on records reviewed, resident R1’s ANS does not address R1’s combative behavior when he/she is being changed. The ANS also does not detail R1’s incontinence plan. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observation, interview and record review, the licensee did not comply with the section cited above in 5 out of 5 residents have either half-side rails or grab bars attached to their bed without a written order from a physician, which poses a potential health, safety or personal rights risk to persons in care.