OAKMONT OF ROSEVILLE

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... This requirement is not met as evidenced by: Based on interviews conducted, the facility was unable to provide LPA with resident (R1's) complete record of centrally stored prescription medications, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Facility agrees to complete a statement of understanding as well as conduct a training with all staff that handle medications regarding the importance of medication documentation. Facility will submit to LPA by the POC due date of 5/22/2025.

Deadline recorded: May 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by: Based on interviews conducted, the facility was unable to provide LPA with any incident reports regarding R1's hospitalizations, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Facility agrees to complete a statement of understanding and submit to LPA by the POC due date of 5/22/2025.

Deadline recorded: May 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on interview conducted, the facility was unable to provide LPA with requested documents on 04/08/2025 and 04/16/2025, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Facility will provide LPA with a statement of understanding, as well as a plan to ensure all documents are readily available to CCL. Facility will submit to LPA by the POC due date of 04/30/2025.

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

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility did not comply with the section cited above. LPAs observed facility kitchen staff preparing food without wearing a mask and contracted worker not wearing a mask while giving a resident a manicure which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2022 Plan of Correction Administrator agrees to conduct an in-service and submit a letter of understanding to Licensing on POC due date, 7/26/2022.

Official classification

Type A

Official code

87705(c)(4)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that R1 was properly supervised, resulting in R1’s AWOL, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

ED incorporated a wanderguard system at the facility after incident. All residents in the ALU have call buttons at all times. R1 was moved to MCU the same day of incident. ED will conduct a training regarding AWOLs on 6/29/2022 at 2:00 PM. ED will provide training materials to department by POC due date.

Deadline recorded: Jun 16, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure call buttons for residents were responded to in a timely manner, resulting in response times reaching 41 minutes, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

ED has ensured that call button system is correctly operating to ensure accurate response times. ED will conduct a training regarding proper call button clearance and response time management on 6/29/2022. ED will provide training materials to department by POC due date.

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

Official classification

Type B

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (B) " No Smoking-Oxygen in Use " signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Based on observations, the facility did not ensure that " No Smoking-Oxygen in Use " signs were posted on every apartment door with a resident using oxygen, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

ED ensured that all apartments with residents using oxygen have " No Smoking-Oxygen in Use " signs on doors. ED will complete a statement of understanding regarding regulation 87618 and submit to department by POC due date.

Deadline recorded: Jul 7, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(3)(A)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. (...) The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. (...) (A) (...) Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. This requirement is not met as evidenced by: Based on observations and interview conducted, the facility did not ensure that R2's bedroom had a clean and comfortable mattress during 12/2/2021 inspection, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

ED indicated that the facility disposed of the mattress in room 125 and communicated to the daughter/Power of Attorney of residents in room 125 regarding the odor due to the incontinence of both residents. At this time, the mattress has been replaced. Numerous work orders were completed for carpet cleaning in room 125. ED will complete a statement of understanding regarding regulation 87307 and submit to department by POC due date.

Deadline recorded: Jul 7, 2022. A deadline is not proof that correction was completed.