Hanna House Ridley

87625(b)(3) Managed Incontinence- In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. it was revealed in LPA's investigation that the facility had not cleaned resident's bed linen(s) that had been urinated on, on 9/5/25; The bed linens were found to still be on resident's bed with the urine dried on them, the bed and room smelling of urine, this was on 9/6/25. LPA obtained sufficient information to support a violation occurred regarding incontinent care procedures for R1 as needed. This is a risk to resident rights.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- 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: 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: Per LPA's investigation, resident (R1) was not feeling well and requested assistance and help with their needs, including needed medication from staff/S2. Staff/S2 responded to R1, and provided them a medication pill, but before giving R1 the medication, S2 stated "your family thinks that I am incompetent". R1 is a dependent resident of the facility and this is an inappropriate comment to the resident by facility staff. This is a risk to resident's personal rights.

87465(a)(4) Incidental Medical and Dental Care- A plan for incidental medical and dental care shall be developed by each facility: The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Per investigation, facility failed to provide R1's medications per Physician orders as required. There was no record of blood pressure (BP) readings, no record of month/days, time, showing the medications were provided, and record of acceptable BP reading of R1. S2 stated they didn't track the blood pressure readings, staff would look at record of blood pressure readings from R1. This is a health & safety risk to residents' in care.

87307(a)(3) Personal Accommodations and Services- The following provisions shall apply:. Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident, the licensee shall assure provision of: Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths. The use of common wash cloths and towels shall be prohibited.This requirement was not met as evidenced by: Per Investigation, LPA observed that there are eight (8) bathrooms in the facility for residents in care. There are four (4) bathrooms that can be used by all residents in care, and the other four (4) are jack and jilll bathrooms for the specific residents who reside in the connected rooms. LPA observed that the paper towels were not available in seven out of eight resident bathrooms. This is a risk to residents personal rights and to the health & safety of residents in care.

87468.2(a)(4)Additional Personal Rights of Residents in Privately Operated Facilities-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: 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: Per investigation, R1 has a seat belt attached to their wheelchair that is used to keep resident in their chair; LPA observed that the seat belt goes straight across as a regular seat belt, which is not providing any postural support for the resident. Per interview with S2, the seat belt helps R1 from standing up and down when agitated, and from possible falls when leaning forward; S2 stated it keeps the resident in their chair. R1 is not able to unbuckle the seat belt on their own. This is a risk to resident's personal rights and to health & safety of resident.

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 was not met as evidenced by: The LPA observed a very strong urine odor when entering the facility and walking in towards the living room. The Living room had a very strong urine odor. This a risk to personal rights of the residents in care.

Maintenance and Operation 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 safety and well-being of residents, and others. This requirement was not met as evidenced by: LPA observing a moisture problem on the ceiling in R1's room, including observation of mold growing on the resident's wall under album covers that were hanging.This is a risk to the health & safety and/or a risk to personal rights of theresident(s). LPA obtained photos.