The Villas at Saratoga Skilled Nursing & Asst Lvg

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Licensee did not ensure that resident R1 received the care, supervision, and services needed to meet R1's toileting needs when staff S1 assisted R1 to the bathroom, which poses an immediate personal rights and safety risk to residents in care.

This requirement was not met as evidenced by: Based on review of 7 staff records, 1 out of 7 staff records did not include a current first aid certification, which poses a potential health risk to residents in care.

Based on review of 7 staff records, 5 out of the 7 staff records did not have a health screening form, which poses a potential safety risk to residents in care.

Based on review of 7 resident Centrally Stored Medication and Destruction Records (CSMDR), 1 out of 7 CSMDRs was missing two medications, which poses a potential health risk to residents in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Licensee did not ensure that R1's bottle of medication M1 was kept in a safe and locked place, which poses an immediate safety risk to residents in care.

Based on interview, record review and observation the licensee did not ensure resident R2, R4, and R5’s centrally stored medications records were complete by missing information such as medications, start dates, and refills which poses a potential health, safety, and personal rights risk to persons in care.