Atria Evergreen Valley

87465 Incidental Medical and Dental Care (g)The licensee shall immediately telephone 9-1-1 if an injury ... resulted in an imminent threat to a resident’s health..an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4).This requirement is not met as evidenced by: Based on interview, document reviews, licensee did not ensure that staff are available to meet resident’s needs and staff are adequately trained and equipped to assist residents with lift assistance when it has been determined that the resident has not sustained any injury. Which pose/poses

87506 Resident Records (b) Each resident’s record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement was not met as evidenced by: Licensee did not ensure that resident R1's resident record contained a Safeguard for Personal Property and Valuables form, which posed a potential personal rights risk to residents in care.

87465 Incidental Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (B) Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. This requirement was not met as evidenced by: Licensee did not ensure that medications that were determined by the physician to be hazardous if kept in R1’s personal possession were centrally stored and not in the possession of R1 in R1’s living unit, which poses an immediate safety risk to residents in care.

(a) The pre-admission appraisal shall be updated... to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. This requirement was not met as evidence by: Based on document review and investigation, R1 was not reassessed after R1 consumed cleaning solution on 10/26/23. R1’s Reappraisal was not updated for the facility to develop the care plan to meet resident’s needs. This poses an immediate risk to the health of the resident.

(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. This requirement was not met as evidenced by: Based on interview and record review, the facility did not ensure to follow-up with R1’s responsible person(s) on the COVID-19 vaccination which poses a potential health, safety, and personal rights risk to persons in care.

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (A) Bedrooms shall be large enough to allow for easy passage between and comfortable usage of beds and other required items of furniture specified below, and any resident assistant devices such as wheelchairs or walkers. This requirement was not met as evidenced by: Based on observation, the licensee did not ensure R1’s room allowed for easy passageway to the bedroom's exit with a wheelchair which poses an immediate health, safety, and personal rights risk to persons in care.

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by: Based on interview, observation, and record review the facility did not ensure resident (R1)’s hygiene needs were met despite the daily service for bathing/showering from the observation of the build-up of gunk underneath R1’s fingernails which poses a potential health, safety, and personal rights risk to persons in care.

87468.1 Personal Rights of Residents... (a) Residents… shall have all... personal rights: (1) To be accorded dignity… with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews, staff (S1) spoke inappropriately to resident (R1) and did not treat resident (R1) with dignity. This posed a potential risk to the residents in care.