Embracing Seniors

(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 medical records, photos, and interviews, licensee did not comply with the section cited. Staff did not provide the necessary care and supervision resulting in R1 sustaining pressure injuries and bruising while in care, which posed an immediate health and safety risk to residents in care.

(a) A plan for incidental medical and dental care shall be developed by facility. The plan shall encourage routine medical and dental care.... (1) The licensee shall arrange.....for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews and medical records, the licensee did not comply with the section cited above. The licensee did not seek medical attention when R1’s pressure injuries progressively worsened, which posed an immediate health and safety risk to residents in care.

(a) Persons who require health services for or have a health condition including, but not limited to, those specified....(5) Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. The licensee retained R1 who depended on others to perform all activities of daily living, which posed an immediate health and safety risk to residents in care.

(d) If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver....... (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally Ill resident.....This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. There is no evidence/confirmation that the licensee submitted a notification for R1’s 05/24/2023 initiation of hospice care services, which posed a potential health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above. Facility emergency disaster plan was not reviewed/updated. This poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. One (1) out of four (4) resident records reviewed observed with PRN medication on hand which was indicated by physician that R3 is unable to determine his/her own need for the PRN medication, and is unable to communicate his/her symptoms clearly. Licensee/staff do not have record of physician contact made prior to administering PRN medication. This poses a potential health, safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. One (1) out of four (4) resident records reviewed observed with PRN medication on hand which was indicated by physician that R3 is unable to determine his/her own need for the PRN medication, and is unable to communicate his/her symptoms clearly. Licensee/staff do not have record of contacts made prior to administering PRN medication. This poses a potential health, safety risk to persons in care.

Based on interview and observation, the licensee did not comply with the section cited above. R1 is receiving home health services in the facility. No agreement between licensee and home health agency observed on file. This pose a potential health, safety or personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted...... within seven days of the occurrence of any of the events specified in.....(B) Any serious injury....while the resident is under facility supervision. This requirement is not met as evidenced by: Based on interviews and records review, licensee did not comply with the section cited above. No evidence or confirmation that the licensee submitted the 5/12/2023 SIR, dated 05/25/2023, to CCL. Licensee did not submit an SIR for R1’s fall , which posed a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed cleaning supplies stored in an unlocked cabinet in the kitchen, an unlocked drawer in the bathroom and an unlocked closet in the hallway, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed knives and scissors stored in an unlocked drawer in the kitchen which poses an immediate health, safety or personal rights risk to persons in care.