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Inspection visit

Complaint

LEXINGTON ASSISTED LIVINGLicense 5658501113 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Concerns were that resident #1 (R1) did not receive medication in a timely manner on 2/19/22 as R1 was not given their lunch medication and it was already after 2 pm. Interviews conducted on 2/24/22 starting at 11:07 am and on 8/23/22 starting at 3:09 pm revealed that residents have not had any issues with receiving the medications timely. A review of R1’s medication records conducted on 08/11/22 starting at 10:17 am revealed that R1 did not have any scheduled afternoon medications. Based on interviews and record review the allegation that resident #1 (R1) did not receive medication in a timely manner is deemed unsubstantiated at this time. Exit interview was conducted. Today's reports and appeals rights were reviewed and emailed to the Administrator left soiled for a long period of time is deemed substantiated at this time. Concerns were that resident #1 (R1) does not have access to personal possessions on 2/19/22 R1 was observed without their hearing aids and they were nowhere to be found in R1’s room at approximately 2 pm and was retrieved from the medication technician who had put them in their office the prior night. Interviews conducted on 2/24/22 starting at 11:07 am and on 8/23/22 starting at 3:09 pm revealed that there was a note in the medication room which stated that it was requested by R1’s family that R1’s hearing aids be put on in the morning and taken off at night and kept in the medication room. Staff stated that they were not aware that R1 wore hearing aids. A review of R1’s facility records conducted on 08/11/22 starting at 10:17 am revealed that R1 wears hearing aids. Based on interviews and documentation received staff did not assist R1 with their hearing aids the morning of 2/19/22 as they were not aware that R1 wore hearing aids therefore, the allegation that resident does not have access to personal possessions is deemed substantiated at this time. Concerns were that staff did not provide meals to resident #1 (R1) on 2/19/22 as R1 was asked if they had breakfast or lunch around 2 pm and they indicated that they did not. Interviews conducted on 2/24/22 starting at 11:07 am and on 8/23/22 starting at 3:09 pm revealed that on 2/19/22 a little before 11 am staff went to check on R1 and R1 insisted on staying in bed. Staff stated that they did not know if R1 had breakfast or lunch that day and are not aware of R1 receiving a meal tray for breakfast or lunch that day. A review of R1’s facility records conducted on 08/11/22 starting at 10:17 am revealed that R1 required assistance with escorts to/from dining room. Based on interviews and documentation received the allegation that staff did not provide meals to resident is deemed substantiated at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D): Exit interview was conducted. Today's reports and appeals rights were reviewed and emailed to the Administrator.

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.

  • 1569.269(a)(30)Type B

    1569.269 Enumerated rights; severability (a)(30) To keep, have access to, and use their own personal possessions, including toilet articles, and to keep and be allowed to spend their own money, unless limited by statute or regulation.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 did not have access to their hearing aids which poses a potential personal rights risk to persons in care.

  • 87555(b)(1)Type B

    87555 General Food Service Requirements(b)(1) Where all food is provided by the facility arrangements shall be made so that each resident has available at least three meals per day. Exceptions may be allowed on weekends and holidays providing the total daily food needs are met. Not more than fifteen...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as breakfast and lunch was not made available to R1 on 2/19/22 which poses a potential health and personal rights risk to persons in care.

  • Maintain cleanliness and prevent incontinence odors

    87625 Managed Incontinence(b)(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 was observed to be left soiled for an extended period of time which poses a potential health and personal rights risk to persons in care.

  • Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care Services(a)(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on interviews and medication review, the licensee did not comply with the section cited above as R1 did not get their medication as prescribed which poses an immediate health risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 31, 2022 inspection of LEXINGTON ASSISTED LIVING?

This was a complaint inspection of LEXINGTON ASSISTED LIVING on August 31, 2022. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to LEXINGTON ASSISTED LIVING on August 31, 2022?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "1569.269 Enumerated rights; severability (a)(30) To keep, have access to, and use their own personal possessions, includ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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