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Inspection visit

Follow-up on corrections

CAMARILLO SENIOR LIVINGLicense 5658501421 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Teresa Camara conducted a Case Management - Deficiencies visit due to a deficiency observed during the investigation of complaint #29-AS-20240429161933. LPA met with back-up administrator Scott Keawekane who is the administrator of the skilled nursing facility attached to this property. Administrator Gena Grundes is out on a leave of absence. LPA met with administrator Keawekane and explained the reason for the visit. During the Department’s investigation of complaint #29-AS-20240429161933, the following deficiency was observed: The facility did not submit a Special Incident Report (SIR) to Community Care Licensing (CCL) to notify that on 04/23/2024 at approximately 5:52pm, Resident #1 (R1) was admitted to St. John’s Hospital for treatment for a severe cough. In addition, R1 was diagnosed with shortness of breath (SOB), bilateral lower extremity (BLE) edema, venous stasis, HTN, dementia, obesity, incontinence, weakness, and agitation. R1’s pressure injuries consisted of multiple decubitus ulcers. R1 had several wounds and skin breakdowns on the sacral area, abdominal fold, feet, and breasts. The facility also failed to notify R1's physician and the Department of R1's change of condition observed prior to 04/23/2024. Pursuant to Title 22, California Code of Regulations, the following deficiencies are cited (refer to LIC809-D). Exit interview conducted, appeal rights discussed, and a copy of this report issued.

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.

  • 1569.312(a)Type A

    §1569.312(a) Basic services requirements.Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff neglect led to R1 sustaining multiple pressure injuries, which posed an immediate health and safety risk to residents in care.

  • 87303(a)Type B

    87303 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 was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff left R1's toilet inoperable overnight, which posed a potential health and safety risk to residents in care.

  • 87463(a)(3)Type B

    87463(a)(3) Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: (3) Any illness, injury, trauma, or change in the health care needs of the resident that results in a circumstance or condition specified in Sections 87455(c) or 87615, Prohibited Health Conditions.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff did not conduct a reappraisal to address resident's change in condition, which posed an immediate health and safety risk to residents in care.

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  • 87211(a)(1)(B)Type B

    87211(a)(1)(B) Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following…(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below…..(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit an incident report when R1 was hospitalized on 04/23/2024, which posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 13, 2024 inspection of CAMARILLO SENIOR LIVING?

This was a other inspection of CAMARILLO SENIOR LIVING on September 13, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to CAMARILLO SENIOR LIVING on September 13, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "§1569.312(a) Basic services requirements.Basic services shall at a minimum include: (a) Care and supervision as defined ..."

What type of inspection was this?

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

SourceView on CCLDView original report

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