Woodland Gardens Senior Living

Personal assistance and care for required daily activities

87464 (f)(4)Basic Services. Basic services shall at a minimum include:...Personal assistance and care...such as dressing, eating, bathing.. .***Based on documents, this requirement not met as evidenced by: Shower Sheets indicate R1 was not showered as per Care Plan from 8/01/2024 through 10/10/2024.This poses an immediate risk to the health and personal rights of R1.

Provide assistance for residents medical needs

87465 Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(2)(2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service. This requirement was not met as evidenced by: Based on LPA’s interview with R1 the Administrator did not make arrangements or provideadequate transportation assistance for R1, which led to emergency treatment via ambulance.

87411Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs***Based upon records reviewed and interviews conducted, this requirement has not been met as evidenced by:A review of call bell records show that response times were delayed up to 1 hour. This poses an immediate risk to the health and safety of residents in care.

Right to personal privacy in daily care

87468.2Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents... shall have all of the following personal rights: (1)To have a reasonable level of personal privacy in accommodations... conversations, use of the Internet, and meetings of resident and family groups. This requirement is not met as evidenced by: Based on interview of R2 LPA found resident R2 and R3 were not allowed personal privacy due to resident R1 wandering about the facility and accessing their room on more than one occasion due to lack of supervision of the resident R1.

Facility personnel sufficiency and competence

Personnel Requirements -General. (a) Facility personnel shall at all times be sufficient... provide the services necessary to meet resident needs***Based upon records reviewed and interviews conducted, this requirement has not been met as evidenced by: R2 states that on numerous occasions in the recent past, staff shortages resulted in call buttons not being answered timely; up to nearly an hour delay. This posed an immediate risk to the health and safety of residents in care.

1569.269(a)(6) (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) 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 tas evidenced by:heir needs.This requirement is not met Based on 9/15/2024 and 9/20/2024 inspection LPA observed resident R4 and R5 had a wheelchairs and other furnsihings placed in front of their bed to prevent resident from being pulled out of bed by another resident. LPA went over resident personal right and explained staff must be sufficient to observe and meet residents needs. Staff pushed the wheelchair away during the inspections. The licensee did not comply with the section cited above which poses animmediate health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care(a) A plan... shall be developed... The plan shall... provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced.by. Based on document review and interview with resident R1 Licensee did not comply with the section cited above. R1 did not receive medication as prescribed due to caregiver not verifying the correct resident or the right medication; and medication administration not being documented in MAR for R2 and R3. This poses an immediate health and safety risk to residents in care.

Store centrally held medications in locked secure place

87465(h)(2)Medical and Dental Care:(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines... not accessible to persons other than employees responsible for the supervision of the centrally stored medication... This is evidenced by : Based on LPA's observations medication room was unlocked with medications unsecured without staff present while Residents were having lunch which poses a potential health, safety or personal rights risk to persons in care.

Night supervision when dementia residents require it

87705(b)(2) Care of Persons with Dementia: (b) In addition to the requirements as specified in ....the needs of residents with dementia, including: (2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. This is evidence by: Based on LPAs observation, 4 out of 6 cabinets in Residents bathroom were unsecured with toxins, which poses an immediate health, safety or personal rights risk to persons in care.

Facility personnel sufficiency and competence

**Amended**Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs***Based upon records reviewed and interviews conducted, this requirement has not been met as evidenced by: A review of call bell records show that response times were delayed up to 1 hour. This posed an immediate risk to the health and safety of residents in care.