Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
03/04/2021
Section Cited
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7 | 87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.
This requirement is not met as evidenced by:
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14 | Based on interviews conducted and documentation reviewed,the Licensee did not ensure that there was adequate staffing during the NOC shift on 7/17/2020- 7/18/2020 to respond to the motion sensor alert for resident (R1), who has a diagnosis of Dementia, and to observe resident (R1) to be ambulating in her wheelchair in the hallway prior to falling down the stairs, which posed an immediate risk to resident in care. | 8
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Type A
02/18/2021
Section Cited
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7 | 87405 Administrator - Qualifications and Duties (h) The administrator shall have the responsibility to: (5) Provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and needs, including those services identified in the residents' Pre-Admission Appraisals, specified in Section 87457, Pre-admission Appraisal, and Reappraisal, as specified in Section 87463. This requirement is not met as evidenced by: | | |
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14 | Based on interviews conducted and documentation reviewed, the Licensee did not ensure that the Administrator provided the necessary services that resident (R1) needed by updating resident's care plan to reflect changes observed by staff in resident wandering more and showing more confusion since the Covid-19 pandemic lockdown began, which posed an immediate health and safety risk to resident in care. | 8
9
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14 | |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
03/05/2021
Section Cited
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2
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4
5
6
7 | 87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident’s dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: | | |
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14 | Based on documentation reviewed, the Licensee did not ensure that resident (R1), who has a diagnosis of Dementia, had a medical assessment completed within the last 12 months, which posed a potential risk to resident in care. Resident's most current physician report on file is dated 5/15/2019. | 8
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7 | | | |
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7 | | | |