PALMS RETIREMENT CENTER

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency [...]: (1) A written report shall be submitted to the licensing agency [...] of the occurrence of any of the events specified in (A) through (D) below. This report shall include the [...] nature of event; [...] findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by: Based on record reviews and interviews, the facility failed to report the scabies incident of R1, which poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a written statement of understanding after reviewing the Titte 22 Regulations under 87211 Reporting Requirements. In addition, proof of training to all the staff will be submitted by POC due date on how the facility will ensure that scabies incidents will be reported to CCLD.

Deadline recorded: Apr 30, 2026. 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

(f) Basic services shall at a minimum include: (1) Care and supervision as defined in[...] Health and Safety Code section 1569.2(c).[...] (c) " Care and supervision " means the facility assumes responsibility for[...]assistance of daily living [...] includes taking medications [...]. This requirement was not met as evidenced by: Based on record review and interviews, the facility failed to ensure R1's prescribed medication for scabies was given since it was noted in the facility MAR. Facility also denied having a scabies incident for R1. This poses a potential health and safety risk to residents in care if facility is unaware of the resident scabies conditions.

Official plan of correction

Licensee agrees to submit a written statement of understanding after reviewing the Titte 22 Regulations under Basic Services 87464. In addition, proof of training to all the staff will be submitted by the POC due date on how the facility will assist with medication administration and personal care regarding any scabies incidents.

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not evidenced by: Based on a total of eleven interviews conducted with both residents and staff, the Licensee did not ensure that resident's are spoken appropriately to by staff. This poses a potential health, safety, and personal rights risk, to persons in care.

Official plan of correction

The Assistant Administrator stated that they will conduct an in-service training with all facility staff regarding the personal rights of residents. The Assistant Administrator agreed to provide LPA proof of training via email or fax by POC date.

Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.655(a)

Regulation authority

CCR

What the official deficiency says

1569.655(a)If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 90 days’ prior written notice to the residents Based on record review, licensee failed to ensure R1 was given a 90 day notice This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee will refund any money owed to R! and send proof of such to LPA by POC due date

Deadline recorded: Jan 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(f)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements … (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not follow its admission agreement when it overbilled R1 by $22.58, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee stated they will credit R1 by $22.58 and submit proof to LPA by POC due date.

Deadline recorded: Jul 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(2)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements 87211(a)(2) Occurrences, such as epidemic outbreaks... which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone... to the licensing agency... This requirement is not met as evidence by: Licensee did not ensure to report the COVID occurrences to the licensing agency. This poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator stated they will do an in-service with staff and provide a signed statement of understanding to LPA by POC due date.

Deadline recorded: Aug 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87628(4)

Regulation authority

CCR

What the official deficiency says

The licensee shall be permitted to accept or retain a resident who has diabetes..... In addition,, the licensee shall be responsible for the following: Providing modified diets as prescribed by a resident's physician as specified in Section 87555(b)(7). This req is not met Based on record review and interview, Licensee failed to ensure R1 was provided a physician prescribed diabetic diet. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to provide an inservice on prescribed meals and forward proof to LPA by POC due date.

Deadline recorded: Apr 23, 2025. 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

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 req is not met as evidenced by: Based on observation, Licensee failed to ensure facility was in good repair. LPA observed a non-operational telephone on the second floor. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to repair/ replace telephone and forward proof to LPA by POC due date.

Deadline recorded: Apr 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)(1)

Regulation authority

CCR

What the official deficiency says

Eviction Procedures (a)The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required...(1) Nonpayment of the rate for basic services within ten days of the due date. This requirement was not met as evidence by: The Licensee issued R1 a 37 days written notice for new rent rate change instead of no less than 60 days'. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee agreed to issue a 60 day notice new rent rate increase and a new Eviction notice for R1. Licensee to email the POC to LPA by POC due date.

Deadline recorded: Apr 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.2(c)

Regulation authority

HSC

What the official deficiency says

" Care and supervision " means the facility assumes responsibility for... ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety or welfare would be endangered. This requirement is not met as evidenced by: Based on staff interviews and records review, the licensee did not comply with the section cited above as residents' medication is being mismangaged, which poses an immiedate health, safety, and personal rights risk to persons in care.

Official plan of correction

IAD stated residents' MARs will be updated to reflect correct information regarding medication administration and medication staff training conducted. IAD stated they will provide LPA with proof via email by POC date.

Deadline recorded: Jan 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412C

Regulation authority

CCR

What the official deficiency says

Licensee shall maintain in personnel records verification of required staff training and orientation Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in ten out of ten staff files are missing hours and specific training topics which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/15/2024 Plan of Correction Licensee to provide proof of completed staff records by Plan of correction due date.

Official classification

Type B

Official code

87303A

Regulation authority

CCR

What the official deficiency says

The facility shall be clean safe sanitary and in good repair at all times. Maintenance shall include provision of maintenance and procedures for the safety and well being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one of ten bedrooms was observed missing smoke detector which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/15/2024 Plan of Correction Licensee to provide proof of correction of operational smoke detector by plan of correction date. Facility corrected during time of visit.

Official classification

Type B

Official code

87468.2(a)(16)

Regulation authority

CCR

What the official deficiency says

...residents in privately owned facilities for the elderly shall have all of the following personal rights: To written notice of any room changes at least 30 days in advance unless a room change is agreed to by the resident, required to fill a vacant bed, or necessary due to an emergency. This req is not being met as evidenced by: Based on interviews conducted, Licensee failed to ensure R1 was given a 30 day notice for room change. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to submit a statement of understanding of the regulation to LPA by POC due date.

Deadline recorded: Feb 22, 2024. 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

(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code and Health and Safety Code Section 1569.2(c). This requirement is not being met as evidenced by: Based on interviews conducted and records received Licensee failed to ensure care and supervision were provided to R1. R1 elopped out of the facility on 6/28/22 and was found in another citty This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to submit a detailed written plan on ensuring residents are unable to elope out of facility. Licensee to forward proof to LPA by POC due date.

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