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Inspection visit

Follow-up on corrections

FINEST LIVING AT CRESTWOODLicense 5658015412 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced Case Management - Deficiencies inspection due to deficiencies observed during the 11/10/2022 complaint investigation inspection. The LPA observed the following: During medication audit for Resident #1 (R1) which began at 12:21PM, LPA observed Triacinolone Acetone Cream 1% is not labeled for R1. An additional medication Chronik Tonic is not listed on the Centrally stored medication record, nor is it on R1's current prescription list. It was listed on the 11/26/2021 list of R1's medications. The Chronik Tonic was observed to be not properly labeled. Staff indicated this medication had not been administered to the resident. During record review, which began at 01:20PM, LPA observed a physician's report for R1, who has a diagnosis of Dementia, dated 04/13/2021. Additionally, R1 had no needs and service appraisal completed. Licensee indicated R1's hospice nurse had recently completed a head to toe assessment for R1 so a new Physician's Report could be completed by the Doctor. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted with Licensee Aida Cruz. Today’s reports and appeal rights were reviewed and provided via email.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 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... (4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as R1's medications were not administered as prescribed, as they were not present in the facility, which poses an immediated health risk to residents in care.

  • Personal assistance and care for required daily activities

    87464 Basic Services (f) Basic services shall at a minimum include:(4) Personal assistance and care as needed by the resident... and assistance with taking prescribed medications, as specified in Section 87608, Postural SupportsThis requirement is not met as evidenced by: Based on interview and observation, the licensee did not comply with the above cited section, as residents observed did not have their nails and toenails appropriately groomed and showers refusals are not regularly documented, which poses an immediate health risk to residents in care.

  • 87465(e)Type A

    Require physician order and label for PRN medication

    87465 (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician...and a label on the medication...of the following information.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the above cited section, as R1's medication Chronik Tonic and Triaminolone Acetonide were observed to be not labeled and the Triaminolone Acetonide was expired in 07/20, which poses an immediate health and safety risk to residents in care.

  • 87705(c)(5)Type B

    87705 Care of Persons with Dementia (c) (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458... and a reappraisal done at least annually... include a reassessment of the resident’s dementia care needs.This requirement is not met as evidenced by: Based on record review, R1, who has a diagnosis of dementia, had a medical assessment dated 04/13/2021 and no reappraisal in their file, which poses a potential personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 10, 2022 inspection of FINEST LIVING AT CRESTWOOD?

This was an other inspection of FINEST LIVING AT CRESTWOOD on November 10, 2022. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to FINEST LIVING AT CRESTWOOD on November 10, 2022?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each fa..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.