SAVANNA ASSISTED LIVING LLC

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465 (c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation, records reviewed, and interview conducted, R1’s medication Risperidone and Mirtazapine, staff did not administer as directed by physician. R2’s medication Lactulose Solution were not administered by staff as directed by physician, which poses/posed an immediate health and safety risk for the person in care.

Official plan of correction

POC Due Date: 05/17/2025 Plan of Correction Licensee shall submit documents of steps the facility will take to ensure facility meets the regulation which will include medication is administered as prescribed and documentations of medications correctly to Fresno CCL office by POC due date 05/17/25.

Official classification

Type A

Official code

87465(d)(3)

Regulation authority

CCR

What the official deficiency says

87465(d)(3) The date and time …medication was taken, the dosage taken, and the resident’s response shall be documented and maintained in the resident’s facility record. This requirement was not met as evidenced by: Deficient Practice Statement Based on observations, records reviewed, and interviews conducted, S1 did not administered R2’s Memantine on 05/16/25 and recorded medication was administered in R2’s MAR. S1 administered medication Ciprofloxacin on 05/16/25 in the morning and did not record in the R2’s MAR, which poses/ posed a potential health and safety risk for the person in care.

Official plan of correction

POC Due Date: 05/17/2025 Plan of Correction S1 will be retrained in in-service training on proper administering medication and documentation. Licensee will submit documentation of training topics and staff attendance to CCL by POC due date 05/17/25.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)… This requirement is not met as evidenced by: Based on interview and record review, the facility informed R1’s payer and family of eviction notice. Eviction notice was not valid and did not meet the eviction procedure. This poses a potential health and safety risks to persons in care.

Official plan of correction

Licensee will submit a written plan of how evictions shall be presented to residents and/or their responsible party to Department by POC due date.

Deadline recorded: Jul 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1796.45

Regulation authority

HSC

What the official deficiency says

Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease. This requirement is not met as evidenced by: Deficient Practice Statement LPA reviewed and observed S1 did not have a TB result on file which poses a potential risk to the health and safety of the residents.

Official plan of correction

POC Due Date: 06/14/2024 Plan of Correction Licensee shall ensure all staff have a TB result on file. S1 TB result shall be submitted to the Fresno CCL office by POC due date 6/14/24.