Rincon Valley Assisted Living Llc

Based on LPA and Admin observation and interview and record review, the licensee did not comply with the section cited above in that R1 is bedridden but facility does not have bedridden clearance, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation and interview and record review, the licensee did not comply with the section cited above in that R1 not on hospice and full bed rails present, which poses a potential health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on LPA and Admin interview and record review, the licensee did not comply with the section cited above in that R2's most recent appriasal dated 2022, which poses a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on LPA and caregiver observation and record review, the licensee did not comply with the section cited above in that LPA and S2 observed: R2 to have prescription for Lisnopril RX161458369 to be missing fill date on Centrally Stored Medication log (CSML). R3 had bubble pack of Tramodol with no start date but 3 pills missing. Per caregiver bubble arrived with resident upon move in, but has not taken any since admission, but no notes on CSML indicating as such. LPA advised that some note must be made to account for missing pills. R2 had prescription for Quetiapine in the amount of 300 mg daily (1 in the morning and 2 at night), LPA and caregiver observed a count of 50 remaining in the bottle with an original fill quantity of 90, start date was 6/28/2024 and fill date was 5/23/2024. Count was off, indicating missed doses. Caregiver explained that on 5/17/2024 and 6/24/2024 the prescribed dose was changed. LPA advised 5/17/24 is before fill date of 5/23/24, so prescription should have been changed before filling in order to ensure accurate fill, accurate dosing, and accurate entry on CSML, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation and record review, the licensee did not comply with the section cited above in that R1 most recent 602 dated 11/11/2022, most recent ANS dated 8/20/2022, which poses a potential health, safety or personal rights risk to persons in care.

Food quality controls and rejected damaged goods

Based on LPA and caregiver observation, the licensee did not comply with the section cited above in that LPA and caregiver observed package of Keebler Club crackers opened but not covered or labeled with date opened. Canned goods found to be stamped with expired Best If Used By (BIUB) dates: one can of Bruce's Yam 12/22/2023, one bottle of Hidden Valley Ranch dressing 5/30/2024, two [2] cans of S&W garbanzo beans 11/18/2023, one can of Swanson's chicken broth 11/11/2023. Frozen beef steak dated 10/27/2023 which posed a potential health, safety or personal rights risk to persons in care.

Use slip-resistant surfaces in bathing areas

Based on LPA and caregiver observation, the licensee did not comply with the section cited above in that mats in all 3 resident bathrooms were found to have black and brown substance on the underside of the mat, two of which had the substance almost covering the entire surface, one of which had varied spotting of the black substance, which posed a potential health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Based on LPA record review, the licensee did not comply with the section cited above in that S1 not associated to the facility. S1 has been working at facility since October of 2023. In addition to not being associated to the facility, S1 also does not have fingerprint clearance. Per Guardian background check system, S1 has an incomplete application and was notified of such on 9/17/2023, which poses an immediate health, safety or personal rights risk to persons in care.