TUSCANY VILLA SENIOR LIVING

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the. ..(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 ...(D) Any incident which threatens the welfare, ... .....safety or health of any resident...... -This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above in not submitting the report for the fall incident for R1 which posed a potential health, safety and/or personal rights risks to person in care.

Official plan of correction

Staff provided the incident report to LPA on this day. In addition, administrator to read the Regulation and self-certify that report will be submitted timely.

Deadline recorded: Aug 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not giving resident medication as prescribed by the physician which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/09/2026 Plan of Correction Family dropped a bottle of Melatonin 5mg during inspection. Executive Director (ED) has agreed to conduct training on medication intake and administration. ED will provide staff sign in sheet and training materials to CCLD by POC date.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities. To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency... This requirement is not met as evidence by: Based on interviews and record review, the licensee did not comply with the section cited above by having two residents leaving the facility unassisted which poses a potential health and safety risk to the persons in care.

Official plan of correction

Executive Director (ED) has agreed to conduct in-service training regarding front door not being propped open. ED will submit staff sign-in sheet and materials to CCLD by POC date.

Deadline recorded: Mar 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87467(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current reappraisals for 3 of 4 residents which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2025 Plan of Correction Executive Director has agreed to obtain signed copies of residents' (R1, R2, R4) reappraisal with dates and submit copies to CCLD by POC date.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having health screening documents for S4 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction Administrator has agreed to obtain health screening for S4 and submit a copy of health screening to CCLD by POC date.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having R2's prescribed medications available which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/29/2024 Plan of Correction Administrator has agreed to notify R2's doctor regarding missed medications. Administrator will request for refills for the two medications again and submit document proof to CCLD by POC date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(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. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current medical assessments and reappraisals for resident(s) which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction Administrator has agreed to obtain current medical assessment for R1 and R2 and current reappraisal for R2. Administrator will submit copies to CCLD by POC date.

Official classification

Type B

Official code

87555(b)(21)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having freezer temperature at 10 degrees F which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/03/2023 Plan of Correction Administrator has agreed to adjust freezer temperature according to regulation and submit picture proof to CCLD by POC date.

Official classification

Type A

Official code

87705(c)(4)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. There is an adequate number of direct care staff to support each resident’s physical,...safety and health care needs... This requirement is not met as evidence by: Based on interview, licensee did not comply with the section cited above by not having adequate number of staff and resulting in a resident leaving the facility which poses an immediate health and safety risk to the persons in care.

Official plan of correction

Administrator has agreed to submit a new staff schedule for the next two weeks to CCLD by POC date.

Deadline recorded: Dec 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidence by: Based on interview, licensee did not comply with the section cited above by having unalarmed exit door which poses an immediate health and safety risk to the persons in care.

Official plan of correction

Administrator has agreed to create a written plan to address alarm exit doors to prevent future AWOLs. Administrator will submit written plan to CCLD by POC date.

Deadline recorded: Nov 23, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. Each resident with dementia shall have an annual medical assessment...at least annually... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having a current medical assessment for R1 which poses a potential health and safety risk to the persons in care.

Official plan of correction

Administrator has agreed to obtain a current medical assessment for R1 and submit a copy to CCLD by POC date.

Deadline recorded: Nov 30, 2022. A deadline is not proof that correction was completed.