Regency Palms Oxnard

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as the ED at the time, did not report to the Department R1’s fall which poses a potential health, safety, and personal rights risk to persons in care.

87468.1(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff...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 S1 was observed to be rude or aggressive towards residents which poses an immediate health and safety risk to residents in care.

87468.1(a) (3)Personal Rights of Residents in All Facilities(a)Residents in all residential care facilities... (3)To be free from punishment, humiliation... 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 the facility staff did ensure that residents were free from humiliation as an outside vendor posted videos of the residents online which poses a potential health and safety risk to residents in care.

87613(a)(2)General Requirements for Restricted Health Conditions (2)Ensure that facility staff complete training provided by a licensed professional…training shall be completed prior to the staff providing services to the resident. This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as staff assist residents with a hoyer lift prior to getting training by a skilled professional, which poses a potential health and safety risk to persons in care.

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...indicated in the pre-admission appraisal, with those activities of daily living such as dressing,... bathing... This requirement is not met as evidenced by Based on interviews, licensee did not comply with the above section by not providing R1 basic services such as bathing and grooming which poses potential health and safety risk to residents in care.

87625(b)(2) Managed Incontinence...the licensee shall be responsible for the following: Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. 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 they did not ensure R1’s incontinence was properly managed, which poses an immediate health and safety risk to residents in care.

87465 (a)A plan for incidental medical and dental care shall be developed…(1) The licensee shall arrange...medical and dental care appropriate to the conditions&needs of residents.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as the Licensee failed to seek medical attention in a timely manner to R1 which posed an immediate health and safety risk to residents in care.

87465(a)(4) Incidental Medical&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 record review and observations, the licensee did not comply with the section cited above, as the facility staff did not properly assist with R1 self-administered medications per physician’s order which poses an immediate health and safety risk to residents in care.

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...indicated in the pre-admission appraisal, with those activities of daily living such as dressing,... bathing... This requirement is not met as evidenced by: Based on interviews, licensee did not comply with the above section by not providing R1 basic services such as bathing and grooming which poses potential health and safety risk to residents in care.

87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times...safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on interviews and records review, the licensee failed to comply with the section cited above as bed bugs were observed in two (2) resident rooms, which poses an immediate health and safety risk to residents in care.

87463 Reappraisals (a) The pre-admission appraisal...shall be updated in writing as frequently as necessary... whichever occurs first...appraisal shall be referred to as the reappraisal.This requirement is not met as evidenced by: Based on record review and observation, the licensee did not comply with the above cited section, as R1’s care plan was not updated as necessary after significant change in condition which poses a potential health and safety risk to persons in care.

87464 Basic Services (f) (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above cited section as staff did not properly assist R1 while dressing which resulted in R1 falling, and sustaining injury which posed an immediate health and safety risk to persons in care.

87625 Managed Incontinence (b) In addition to Section 87611, ... the licensee shall be responsible for ... (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, ...This requirement is not met as evidenced by: Based on observations and staff interviews, the Licensee did not comply with the section cited above when R1 who is an incontince resident was not checked/changed for over two hours.which posed a potential health risk to residents in care.

87468.1 (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6)To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.... This requirement is not met as evidenced by: Based on observations, the Licensee did not comply with the section cited above when a resident was locked out in the memory care courtyard which posed a potential personal rights risk to residents in care.

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 is not met as evidenced by: Based on interviews, and file review the licensee did not comply with the section cited above when staff did not provide stand by assist showers to R1 as per the admission agreement, which posed a potential health and safety risk to residents in care.

87216 (a)(1) Bonding (a)Each licensee..., who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company... (1) The amount of the bond shall be… This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as the facility did not obtained a surety bond in order to safeguard R1’s cash resources which poses a potential health, safety or personal rights risk to persons in care.

87405 (d)(2) Administrator -Qualifications and Duties (d) The administrator shall have the qualifications specified...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above as the ED/ Administrator did not demonstrate knowledge nor comply with Title 22 Regulations which posed a potential health and safety risk to residents in care.

1569.153 Theft and loss program; standards, property inventories... A theft and loss program shall be implemented by the residential care facilities for the elderly within 90 days...The program shall include all of the following: This requirement is not met as evidenced by: Based on interview, and file review the licensee failed to make reasonable efforts to safeguard R1’s cash resources and did not follow Theft and Loss Policy, which posed a potential personal rights risk to residents in care.

87465(a)(4) 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 record review, the licensee did not comply with the section cited above, as the facility staff did not properly assist R1’s medications per physician’s order which poses an immediate health and safety risk to residents in care.

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 is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section by not ensuring R1 and/or R1's authorized person recieved refund which posed a potential health, safety, and personal rights risk for residents in care

87465(a)(4) 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 record review and observations, the licensee did not comply with the section cited above, as the facility staff did not properly assist with R1’s, R2’s, R3’s and R4’s self-administered medications per physician’s order which poses an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in two out of five staff which poses/posed 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 in three out of five staff which poses/posed 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 in two out of five staff which poses/posed 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 as one out of five residents did not get their medication as prescribed which poses an immediate health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as four medications were not documented on the centrally stored medication and destruction record which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as prescribed and over the counter medication was observed in residents rooms memory care 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 as laundry rooms in both MC & AL were left unlocked with chemicals accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

87464(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: Based on interviews the licensee did not comply with the regulation above, R1 who is diagnose with dementia was able to leave through the unlocked exit door and walk across the street off the property which poses an immediate health and safety risk to residents in care.

Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on today's observation of R1's room, the licensee did not comply with the section cited above as R1's room was observed to be cluttered with very limited to no path to ambulate. This poses a potential safety risk to resident in care.

87213 Finances The licensee shall have a financial plan that conforms to the requirements.. and that assures sufficient resources to meet operating costs for care of residents…..This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above section. Licensee did not maintain sufficient cash reserves, had an operating loss, did not pay taxes, and filed bankruptcy, which posed a potential health and safety risk to residents in care.

87468.2 (a)(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 interviews and record review, the licensee failed to comply with the section cited above as staff did not respond to R1's call for assistance and had to call 911 for them self to obtain assistance which poses a potential health and safety risk to residents in care.

87555(a) General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above section. Licensee’s monthly food expenses reported were below the USDA guidelines, 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 as the facility had food with past best by dates which poses an immediate health, safety or personal rights risk to persons in care.

87468.2 (a) (19)To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided two (2) business days and at a cost that does not exceed the community standard for photocopies.This requirement is not met as evidence by: Based on interviews and record review, the licensee failed to comply with the section cited above, as R1 was not provided copies of their medical records requested within two business days of the request which poses an immediate personal rights violation.