Finest Living at Arcade

Maintain fire clearance before retaining specified persons

Based on observation and record review, the licensee did not comply with the section cited above as R1, who is non-ambulatory, is using Room #5 and the fire clearance indicates Room #5 is approved for ambulatory only which poses an immediate health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above as inside kitchen pantry was observed to be dirty and sticky, a drawer is falling out of the cabinet in the kitchen, and both bathrooms contain drawers which are not securely attached to the cabinets, which poses a potential health and safety risk to persons in care.

General hygiene items required

Based on observation, the licensee did not comply with the section cited above neither resident bathroom contains paper towels nor toilet paper, which poses/posed a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as 2 (two) of 2 (two) staff files reviewed, both of which administer medications did not contain proof of annual medication training, which poses a potential health and safety risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above as R1 has a full bed rail with no doctor's orders and not on hospice and R2 has 2 half bed rails - one on the bottom half of the bed and the other on the top half, effectively creating a full bed rail with no doctors orders, which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as the facility's most recent documened drill took place in 2021, which poses a potential safety risk to persons in care.

Document behavioral expression and related causes

Based on record review, the licensee did not comply with the section cited above in 3 of 5 resident file reviews, all contained appraisals which were more than a year old, which poses a potential health, safety or personal rights risk to persons in care.

Right to sufficient care and qualified staff

87468.2 (a) In addition to the rights listed in Section 87468.1,....(4)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 is not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as R1 required additional care and supervision at night but did not received it after paying for services instead receiving a refund for that extra care which is an immidate health and safety risk to R1 in care.

Give PRN medication by physician order

87465 Incidental Medical and Dental Care (c)(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidence by: Based on file review, text messages and interviews, the licensee did not comply with the section cited above as R1 was not give Ativan routinely and Haldol was given extra during night hours, which poses an immidiate health, safety and personal rights risk to persons in care.

Maintain separate complete record for each resident

87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement is not met as evidence by: Based on observation, the licensee failed to comply with the section cited above as one resident (R1) did not have their medication administration record complete with all medications they are receiving which poses a potential health and safety risk to residents in care.

87465 Incidental Medical and Dental Care (6)(A)-(F) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident ..(B)..prescribing physician.....This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as R1 did not have record of centrally stored medications and R2 and R3 did not have their current medications listed on the centrally stored records which poses a potential health and safety risk to residents in care.

Fire approval and staff access to unlock systems

Based on LPA's observation and record review, the licensee did not comply with the section cited above as toxic items were accessible to residents which poses an immediate health risk to persons in care.

Notify agency before locking doors or gates

Based on LPA's observation and record review, the licensee did not comply with the section cited above as scissors were observed accessible to residents which poses an immediate safety risk to persons in care.

Onsite food stock levels for nonperishables and perishables

Based on LPA's observation, the licensee did not comply with the section cited above as LPA did not observe any nonperishable fruit which poses health and personal rights risk to persons in care.