Cornerstone Assisted Living

Based on LPA and admin observation , the licensee did not comply with the section cited above in that auditory signal system alarm was not loud enough to summon staff. In additon, door signal system in first floor heading toward back parking lot exit next to restrooms was not turned on which poses a potential health, safety or personal rights risk to persons in care.

Incidental Medical and Dental Care 87465(a)4 The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews and records review, facility did not dispense R1's medications as prescribed. This poses an immediate health, safety, and/or personal rights risk to residents in care.

87303(a). The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors This requirement has not been met as evidenced by A/C was observed non-functional resulting in increased temperatures within parts of facility. This poses a potential health and safety risk to residents in care.

Based on observation and record review, the licensee did not comply with the section cited above in ensuring that residents' centrally stored medication records are maintained in compliance with regulation which poses a potential health, safety or personal rights risk to persons in care.

87468.2(a) … [R]esidents ... shall have […] the following personal rights: (4) To...supervision...that meet their individual needs.... This requirement was not met as evidenced by: Based on review of facility submitted UIR, resident record review, and interviews with facility staff, facility did not provide adequate supervision for R1, which resulted in R1's elopement from the facility. This poses an immediate health, safety, and personal rights risk to residents in care.

87211 (a)(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of…. (D) Any incident which threatens the welfare, safety or health of any resident….This requirement was not met as evidenced by: Based on observation, interviews, and record review, the Licensee did not ensure CCL received Unusual Incident/Injury reports for two falls R4 experienced which poses a potential health, safety, and/or personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) …. (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on observation, interviews, and record review, the Licensee did not ensure R2 received the correct medication as prescribed which poses an immediate health, safety, and/or personal rights risk to residents in care.

87705 Care of Persons with Dementia (b)In addition to the requirements as specified in Section 87208..., the plan of operation shall address the needs of residents with dementia, including:Safety measures to address behaviors and ingestion of toxic materials. This requirement is not met as evidenced by: Based on record review, self-incident report dated 05/01/2024, and interviews with Administrator, R1 eloped without staff knowledge on 4/24/2024. The facility did not comply with section above,when R1 eloped from facility, which poses an immediate Health, Safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above, facility staff failed to ensure staff S1 wears face mask coverings, while providing care to residents which poses/posed a potential health, safety or personal rights risk to persons in care.