Cogir of Turlock

(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case This is not met as evidenced by: Based on interviews and record review, the licensee did not ensure that a resident’s responsible party was notified after a fall incident. This poses a potential health, safety, and personal rights risks to persons in care.

(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 was not met was evidenced by: Based on interview and record review, the licensee did not follow the assistance and care needs of the residents as indicated in their pre-admission appraisal for assistance in meals, food allergies, and eating. It was learned that facility staff provided the resident with a known allergen during meal time. This presented an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

87303 Maintenance and Operation(i) Facilities shall have signal systems which shall meet the following criteria: (1)All facilities licensed for 16 or more... shall have a signal systemThe licensee did not meet the above requirement when: Based on record review and interview, the pendant /call alert system has not been functioning properly since at least 09/01/2025. This posed/poses an immediate risk to the health safety and personal rights of residents in care.

Maintenance and Operation (i) Facilities shall have signal systems which shall ...(B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff.This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not ensure the facility had a signal system that was able to summon staff based on statements by S4 and observations of LPA Campbell which poses an Immediate Health, Safety or Personal Rights risk to persons in care.

87208(a) The licensee shall have and maintain a current... definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation.This requirement is not met as evidenced by: Based on interviews and record reviews, the community solicits donations for staff which conflicts with the facility No Tipping policy as found in the community handbook that applies to tips and gifts for services rendered which poses a potential health, safety and personal rights risk.

87458 Medical Assessment. (a) Prior to a person's acceptance as a resident, . licensee shall obtain ... a ..., (1) A physical examination of the resident indicating the ... results for ... (A) Communicable tuberculosis.This requirement was not met based on: Based on record reviews, four of seven resident files reviewed did not have record of Tuberculosis tests or chest x-rays with their results.This poses a potential Health, Safety or Personal Rights risk to persons in care.

87464 : Basic services shall at a minimum include:Personal assistance and care as needed by the resident and ... assistance with taking prescribed medications...This requirement is not met as evidenced by Based on interviews and documentation; the licensee did not ensure the resident received assistance and care with taking prescribed medications which poses a potential Health, Safety and Personal Rights risk to persons in care.

87465 Incidental Medical and Dental Care. (a)A routine plan ... (5) may assist persons with self-administration as needed. Assistance shall be limited to medications... authorized by the person's physician.This requirement is not met based on: Based on interviews and record reviews, 1 of 2 staff reported that they did not assist persons with self-administration as authorized by a person's physician. This poses an immediate Health, Safety or Personal Rights risk to persons in care.

87468.2(a)(19) (19) To have prompt access to review all of their records and to purchase photocopies of their records. .. within two (2) business days and at a cost that does not exceed the community standard for photocopies. This standard has not been met as evidenced by: -Based on observation, interviews and record review, it took the resident’s representative several months versus the two days required, to receive requested unredacted documents from the licensee which poses a potential Health, Safety or Personal Rights Risk.