ARCADIA GARDENS RETIREMENT HOTEL

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility.The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self administered medications as needed. This requirement is not met as evidenced by Resident R1 being administered incorrectly R2's medication which poses an immediate health and safety risk to residents in care.

Official plan of correction

The licensee shall conduct medication training regarding medication administration and how to ensure medications are dispensed to the correct resident at all times. Training date to be submitted by POC due date and a signed log of those who attended once completed. Training was conducted on 12/29/25 Proper Medication Administration 1/3/26 Communication and Confidentiality and Proper Procedures. Deficiency cleared.

Deadline recorded: Jun 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(E)(1)(a)

Regulation authority

CCR

What the official deficiency says

87507-Admissions agreement. (E) Preadmission fees shall be refunded according to the following conditions: 1. A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if: a.The applicant decides not to enter the facility prior to the facility completing a preadmission appraisal as defined in Section 87457. This requirement was not met by: the facility failed to refund advanced deposit to resident within fifteen days as wriiten in the admission agreement.

Official plan of correction

Facility to provide LPA with proof of refund. Administrator to provide a signed statement understanding of the company refund policy. Send to LPA by 8/19/2025.

Deadline recorded: Aug 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87463(a)(3)

Regulation authority

CCR

What the official deficiency says

Reappraisals (a)(3) Any illness, injury, trauma, or change in the health care needs of the resident that results in a circumstance or condition specified in Sections 87455(c) or 87615, Prohibited Health Conditions. This requirement was not met by evidence of: Based on record review & staff interviews, the licensee did not (1) comply with the section cited above; (2) document or update resident#1's Plan of Care; (3) provide care by medical professional to resident#1 who had unstageable pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to conduct staff training on regulation 87463 and resident care plan. Licensee agrees to submit a written statement of how this deficiency will be corrected by 06/10/24. Additionally, Licensee will submit proof of staff training which includes staff signatures and dates by 06/10/24.

Deadline recorded: Jun 10, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care (a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to seek timely medical attention for resident#1 when resident sustained pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to conduct staff training on regulation 87465, provide proper medical care which includes pressure injuries for residents as required. Licensee agrees to submit a written statement of how this deficiency will be corrected by 06/10/24. Additionally, Licensee will submit proof of staff training which includes staff signatures and dates by 06/10/24.

Deadline recorded: Jun 10, 2024. A deadline is not proof that correction was completed.

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(a)(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to provide proper care, supervisions and services to meet resident#1’s care needs who had pressure injuries and changed in condition, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to submit a written plan on how this deficiency will be corrected by 06/14/24.

Deadline recorded: Jun 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(8)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities (a)(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to inform and notify resident#1's authorized representative of change in condition, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to conduct in service training to staff on regulation 87468.1 and how to properly inform residents and their authorized representatives of residents' change in condition. Licensee agrees to submit a written statement on how this deficiency will be corrected by 06/14/24. Additionally, Licensee will submit proof of staff training which includes staff signatures and dates by 06/14/24.

Deadline recorded: Jun 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87631(a)(3)(B)

Regulation authority

CCR

What the official deficiency says

87631 Healing Wounds (a)(3)(B) All aspects of care performed by the medical professional and facility staff shall be documented in the resident's file. This requirement was not met as evidenced by: Based on record review & staff interviews, the licensee did not (1) comply comply with the section cited above; (2) document or update resident#1's Plan of Care; (3) provide care by medical professional to resident#1 who had unstageable pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to conduct staff training on regulation 87631 and resident care plan. Licensee agrees to submit a written statement of how this deficiency will be corrected by 12/15/23. Additionally, Licensee will submit proof of staff training which includes staff signatures and dates by 1/3/23.

Deadline recorded: Dec 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met by evidence of Based on interviews and record reviews, Administrator failed to seek timely medical attention for resident#1 when resident sustained pressure injuries, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to conduct staff training on regulation 87465, provide proper medical care which includes pressure injuries for residents as required. Licensee agrees to submit a written statement of how this deficiency will be corrected by 12/15/23. Additionally, Licensee will submit proof of staff training which includes staff signatures and dates by 1/3/23.

Deadline recorded: Dec 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(8)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities. (a)(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to notify resident#1's authorized representative of change in condition, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee/ Administrator agrees to conduct in service training to staff on regulation 87468.1 and how to properly inform residents and their authorized representatives of residents' change in condition. Licensee agrees to submit a written statement on how this deficiency will be corrected by 12/21/23. Additionally, Licensee will submit proof of staff training which includes staff signatures and dates by 1/3/23.

Deadline recorded: Dec 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(1)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d)(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement was not met by evidence of: Based on interviews and record reviews, Administrator failed to provide proper care to resident#1who had pressure injuries and changed in condition, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Administrator agrees to submit a written plan on how this deficiency will be corrected by 12/21/23.

Deadline recorded: Dec 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(11)

Regulation authority

CCR

What the official deficiency says

Personal Rights Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by: Based on interviews conducted and file review licensee failed to have Individual # 1 be permitted to visit which causes an Immediate Health and Safety Risk to Residents in care.

Official plan of correction

Facility to submit by POC due date to licensing self-certification that facility will allow Individual # 1 and all visitors to visit during reasonable hours

Deadline recorded: Nov 10, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(11)

Regulation authority

CCR

What the official deficiency says

Personal Rights Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by: Based on interviews conducted and file review licensee failed to have Individual # 1 be permitted to visit which causes an Immediate Health and Safety Risk to Residents in care.

Official plan of correction

Facility to submit by POC due date to licensing self-certification that facility will allow Individual # 1 and all visitors to visit during reasonable hours

Deadline recorded: Nov 10, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Deficient Practice Statement A hole located above the shower host in residents’ bathroom in resident room # 110 and #104 was observed. The hole was taped with a piece of tape. Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/10/2022 Plan of Correction Administrator agreed to repair and patch the hole located above the shower host in residents’ bathroom in resident room # 110 and #104 by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by; On 8/14/19, During a walk through of resident rooms between the hours of 9:35AM - 10:15AM, the Assistant Administrator tested the call light button in the following resident rooms with LPA present and the call light button was observed to be inoperable as there was no light or sound on the intercom and no response from staff; Rooms 153E, 155E, 159E, 157E, 156E, 158E and 160E.

Official plan of correction

According to Licensee Representative / David Chirikian, a new call light system will be installed in rooms 153E, 155E, 159E, 157E, 156E, 158E and 160E by the end of today (8/14/19). In the mean time, there is one (1) staff monitoring the E section of the building from 7AM - 10PM (basement level) and will continue to monitor until the new call light system has been installed and is operable. Licensee will self certify to CCL once installation has been completed of the new call light system in the E section of the building by the POC due date.

Deadline recorded: Aug 15, 2019. A deadline is not proof that correction was completed.