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32 | LPA reviewed 4 resident files in memory care contained a signed admission agreement, updated medical assessment, TB result, service plan, consent form, and personal rights form. 3 out of 4 residents uses oxygen and has a physician order for oxygen on file. 2 out of 4 residents uses half rails and has a physician's order for half rails on file. LPA reviewed 4 resident centrally stored medication records and centrally stored medication. 1 out of 4 resident was missing 1 PRN medication that was not written in the centrally stored medication record. LPA observed the facility has the physician's order on file along with the PRN log.
LPA toured Assisted Living with ED to include 6 resident apartments (RM 247, 239, 236, 229, 226, and 225) bathrooms, and common areas. Temperature maintained at 74 degrees F. Hot water temperature in RM 247 AND 236 observed at 112 degrees F. LPA observed the residents are provided with an activity schedule weekly. 1 stairwell observed free and clear of obstruction with a stairwell chair. LPA reviewed 4 resident files in Assisted Living contained a signed admission agreement, medical assessment, TB result, service plan, consent form, and personal rights form. LPA reviewed 4 residents centrally stored medication records. LPA observed 2 medications were not part of the centrally stored medication records for 2 out of 4 residents. LPA observed the physician's order for each medication. Staff immediately inputted the medication on the centrally stored medication record. 5 residents were interviewed in their apartments.
LPA reviewed 6 staff records to include a fingerprint clearance, health screening, TB result, employee rights, and job application. 1 out of 6 staff members had a 1st Aid Certification. Facility has at least one person per shift who has a first aid certification. Facility has a scheduled 1st Aid certification course scheduled on 02/26/2024. LPA reviewed staff training records included training on topics to include but not limited to medication, dementia/Alzheimer, postural supports, and hospice care. LPA recommended to document the hours for each in-service training. Facility has an updated emergency disaster plan. Fire drills are being conducted quarterly with the drills dated on 11/2023, 12/2023, and 01/2024.
No deficiencies are being cited per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with Executive Director, Jolie Higgins, Resident Care Director, Ria Hernandez and Memory Care Director, Myrene Carasi and a copy of the report was provided. |