Grand Oaks Assisted Living

87507 Admission Agreements (g) Admission agreements shall specify the following:(2) Additional items and services which are available. This requirement was not met as evidenced by: Licensee does not have an optional services list showing fees for optional services in the admissions agreement which poses a potential health safety and or personal rights risk to residents in care.

Care and supervision as defined by statute and rules

87464 Basic Services (f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Licensee did not provide care and supervision for R1 who is a high fall risk, by using postural supports/restraints, which were not perscribed by a doctor to keep R1 in bed which poses an immediate health safety and or personal rights risk to residents in care.

Report specified resident events within seven days

87211 Reporting Requirements (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 requirement was not met as evidenced by: Licensee did not report R1's falls which poses a potential health safety and or personal rights risk to residents in care.

Comply with all admission agreement terms

87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement was not met as evidenced by: Licensee did not plan, arrange and/or provide for transportation to medical and dental appointments which poses a potential health safety and or personal rights risk to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4)The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by LPA's observation of Resident R1's records (CSMDR, MARS) and interview with Staff S1. R1 did not receive medication on 9 out of 23 days on the April 2024 MAR.

87609 Allowable Health Conditions and the Use of Home Health Agencies (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). (C)The written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. This requirement was not met as evidenced by:LPAs request for R2's Home Health care plan. During File review, LPAs did not observe a Plan of Care between Therapeutic Home Healthcare and Facility regarding a serious infection and how to care for it.

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (4)…infection or other serious infection.This requirement was not met as evidenced by: Based on LPA's observation of records review and interview with Staff R2 was sent to hospital on10/29/2024 due to a serious infection diagnosed on 9/9/2024.

Licensee reports required by licensing agency

87211 Reporting Requirements (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. (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement was not met as evidenced by: Facility did not submit an incident report for (R2) who was referred to their PCP for a change of health condition/ injury on 8/28/2024.