COTTAGES AT ARTESIA ANAHEIM, THE

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) ...Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition... This requirement was not met as evidence by: Based on record review the licensee did not comply due to LPA not reviewing an appraisal or needs and services plan for Resident #1 during complaint control # 22-AS-2026010612215. Which poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

Licensee stated they will send a list of residents and when their needs and services plan expires to ensure organization as well as update any plans that have already expired. Licensee will conduct an inservice with office staff and send to LPA by POC due date.

Deadline recorded: Aug 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

1569.625(b)(2) Staff Training Training requirements shall also include an additional 20 hours annually... This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement was not met as evidence by: Upon interviews and records reviewed, it was revealed that S1 and S2 were passing medications to residents with expired trainings. This poses a potential health safety and personal rights risk to residents in care.

Official plan of correction

Licensee stated they will train staff and send proof to LPA by POC due date.

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

Official classification

Type A

Official code

87705(e)(5)

Regulation authority

CCR

What the official deficiency says

Care Of Persons With Dementia 87705(e)(5) Facility staff shall ensure the continued safety of residents if they wander away from the facility... This requirement is not met as evidence by: Licensee did not ensure supervision of resident with continued safety when wandering from the facility. This poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator provided LPA with an in service elopment training dated July 5, 2025 at the time of inspection. Administrator stated they will send LPA resident behavior monitoring log on August 1st for all residents in care.

Deadline recorded: Jul 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services 87464(f)(1) Care and supervision This requirement was not met as evidence by: Based on interviews and record review the licensee did not ensure R1 had care and supervision resulting in a hospital visit due to pain, weakness and redness on their arm even though 2 of 4 staff stated they observed the injured arm.

Official plan of correction

Administrator stated they will do an in-service training with staff about providing care and supervision and reporting when residents are denying care or being combative to staff. Administrator will send proof to LPA by POC due date.

Deadline recorded: Jul 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

Incidental medical and dental care 87465(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 as evidence by: Based on interviews and record review the licensee did not assist in appropriate medical arrangements for R1 even though staff observed the injured arm at 8:00am resulting in R1 being taken to the hospital by their responsible party with an admission time of 3:41pm.

Official plan of correction

Administrator stated they will do an in-service with staff on arranging and assisting procedures for residents and send proof to LPA by POC due date.

Deadline recorded: Jul 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services 87464(f)(1) Basic services shall at a minimum include: Care and supervision This requirement is not met as evidence by: The licensee did not ensure staff were changing R1's socks resulting in R1 developing a stage 2 ulcer that was not observed or treated timely. Based on interview and R1 physicians report, R1 required assistance with dressing. This poses a potential risk to resident's health and safety in care.

Official plan of correction

Licensee stated they will do daily skin integrity checks on all residents and document it and send proof of documentation for two weeks to LPA by POC due date.

Deadline recorded: Jun 24, 2025. 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 87468.1(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. The requirement is not met as evidence by: Based on interview and record review the licensee did not comply with the section cited above due to the responsible party not being informed of the resident's medical needs. This poses a potential risk to resident's health and safety in care.

Official plan of correction

Upon record review the licensee conducted an in service training on May 2, 2024 covering reporting with facility staff. Corrected during time of visit.

Deadline recorded: Jun 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(21)

Regulation authority

CCR

What the official deficiency says

General Food and Services Requirements 87555(b)(21) Freezers of adequate size shall be maintained at a temperature of 0 degrees F (-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C)... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above due to the refrigerator reading at 48 degrees Fahrenheit which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2025 Plan of Correction Licensee stated that they will have the maintenance department check the refrigerator and will send LPA proof of service and temperature log for 5 consecutive days by POC due date.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465(c) Incidental Medical and Dental Care (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidence by: Based on interview and file review administrator did not ensure that S1 gave R1 the correct medication. This poses an immediate health and safety risk to persons in care.

Official plan of correction

During the inspection administrator provided LPA with proof of medication trainings that S1 attended.

Deadline recorded: Mar 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not being met as evidenced by: Based on record review, Licensee failed to ensure care was being provided to R1. Medication audit revealed medications are not being administered per physician order. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to provide medication retraining to staff and forward proof to LPA by POC due date.

Deadline recorded: Jul 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

Based on the individual's preadmission appraisal.. Postural supports may be used under the following condition: A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. This req is not being met as evidenced by: Based on record review, Licensee failed to ensure there is a written physician order for half rails for R1. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to provide a statement of understanding of the regulation and forward proof to LPA by POC due date.

Deadline recorded: Jul 30, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(i)(1)(B)

Regulation authority

CCR

What the official deficiency says

(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above due to the signal system console not being plugged in at the time of inspection which posed a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/02/2024 Plan of Correction Administrator stated they will conduct a training with staff to ensure they check the signal system console to ensure it is plugged in and operable. AD stated that, by the assigned POC due date of 7/2/2024, they will email LPA documentation indicating what staff attended the training and what information was covered.

Official classification

Type B

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate 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 due to a tray of desserts being uncovered in the refrigerator at the time of inspection which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/02/2024 Plan of Correction Administrator stated they will conduct a training with kitchen staff to ensure they keep food covered until it is time to serve it. AD stated that, by the assigned POC due date of 7/2/2024, they will email LPA documentation indicating what staff attended the training and what information was covered.

Official classification

Type B

Official code

87303(i)(1)(A)

Regulation authority

CCR

What the official deficiency says

Per CCR 87303(i)(1)(A) regarding Maintenance and Operations: " Facilities shall have signal systems which shall meet the following criteria: (A) Operate from each resident's living unit. " This requirement is not met as evidenced by: Based on interviews and observation conducted, the signal system was found to be either inaccessible or non-operational due to the absence of a pull cord in multiple units, constituting a potential risk to the health and safety of residents in care.

Official plan of correction

Licensee will ensure all pull cords are present and operational. Additionally, an in-service training will be provided to all staff in order to ensure the pull cords are positioned to be accessible to the residents in care.

Deadline recorded: Mar 27, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

Per CCR Section 87705(f)(1) on the Care of Persons with Dementia: " The following shall be stored inaccessible to residents with dementia: (1) Knives, (...), tools and other items that could constitute a danger to the resident(s) " . This requirement is not met as evidenced by: Based on observations made during the visit, two pairs of scissors are observed to be freely accessible in an unlocked drawer. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.

Official plan of correction

Facility staff removed the scissors during the visit. Licensee indicates that they will install a lock on the drawer if scissors are to remain stored at that location.

Deadline recorded: Feb 23, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705(f)(1) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, licensee did not comply with the section cited above to lock other items that could constitute a danger to the resident(s) which could post a danger. LPA observed, boxes of needles in a bag next to the resident’s bed. Staff on duty removed bag of needles and placed it in the medication room. Threat reduced. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/23/2022 Plan of Correction As plan of correction, facility will provide training to staff regarding regulation cited and will provide proof to Community Care Licensing and assigned LPA on or by 12/23/22.