Palo Alto Commons

87465 Incidental Medical and Dental Care (c) If the resident's physician has stated…facility staff designated… (2) Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on observations, interviews, and records review, the facility staff did not ensure R1 was given the prescribed PRN medication according to the physician's directions, which posed an immediate health, safety, or personal rights risk to persons in care.

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. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by: resident R1 was left in bed multiple times past 1 PM, which poses an immediate health risk to residents in care.

Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This was not met as evidence by: The facility staff failed to prevent resident (R1) from eloping the facility on 11/04/2024. R1 has dementia, is non-ambulatory due to mental condition, deemed not able to leave the facility unassisted, and was able to leave facility unassisted by the scheduled staff on 11/04/2024, which posed an immediate health, safety or personal rights risk to persons in care.