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32 | On the allegation: Residents are not receiving medical attention. LPA interviewed staff and witnesses that revealed R1 had a change in condition, was not taken to the doctor, nor was the doctor informed by the staff or facility. Family interviews revealed that family had to come to the facility to get R1 tested for possible urinary tract infection, take specimen to the lab, get results and pick up additional medications prescribed to R1 and this was due to the facility only having 1 staff on duty and Administrator being on vacation. Based on the evidence the allegation is deemed Substantiated at this time.
On the allegation: Residents are not receiving water or enough food. LPA’s interviewed family and staff which revealed that R1 was given minimal food not meeting quality and quantity for a normal diet, had weight loss and was unable to feed self any longer which Administrator and staff did not realize so R1 was not eating adequately on a daily bases. R1 was dehydrated and was not being given water/fluids to keep hydrated daily. Based on the evidence this allegation is deemed Substantiated at this time.
On the allegation: Resident's medication is not refilled timely. LPA’s interviewed staff, family, witness, residents, and conducted a medication record review which revealed R1 had a medication that ran out and was not refilled and was not being given the correct dose of another medication. R1-R5 did not have the central stored medication records at the facility for the residents in care. After Audit of R1’s medications LPA Jeffries found additional medication that would run out before the Administrator was back from vacation. Staff revealed they only help assist residents with self-administration on medication and the Administrator fills, picks up or has medications delivered to the facility, while Administrator was gone no medications would be refilled/picked up or delivered. Based on the evidence the allegation is deemed Substantiated at this time.
Exit interview conducted, deficiencies cited, copy of report and appeal rights given to Administrator to sign and return to the Goleta office. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
11/24/2021
Section Cited
CCR
87465(h)(6)(A-F) | 1
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7 | (a)...The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care,...(2)...This requirement was not met as evidenced by: | 1
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7 | Administrator agreed to read, review and have a complete understanding of regulation 87465 and provide a sign statement of understating requirements/regulation. |
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14 | Based on staff and witness interviews the licensee did not comply with the above regulation, the facility did not aid with meeting R1’s medical needs or transportation which poses a potential health and safety risk to residents in care. | 8
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14 | |
Type B
11/24/2021
Section Cited
CCR
87468.2(a)(5) | 1
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7 | (a)...facilities for the elderly shall have all of the following personal rights:(5)To be served food of the quality and quantity necessary to meet their nutritional needs. This requirement was not met as evidenced by: | 1
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7 | Administrator agreed to poll resident for likes and dislikes of food, make weekly menu plans, purchase enough groceries to meet the quality and quantity necessary to meet their nutritional...continued below... |
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14 | Based on records and interviews the licensee did not comply with the regulation above, R1 could not longer eat on own, quality and quantity of food purchased was cut back, R1 lost weight and was dehydrated which poses a potential personal rights risk to residents in care. | 8
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14 | needs. Have staff assist with any residents that can no longer eat on their own. Provide resident records of food likes/dislikes, weekly menu, and grocery list and receipts for week of November 21st-27th. |