ESKATON VILLAGE ROSEVILLE

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465(a)(4) 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: (4) The licensee shall assist residents with self administered medications as needed. This requirements was not met by evidenced by: Medication was given incorrectly to resident in care. This poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator has completed training with staff regarding medication errors. Administrator agrees to send into LPA a copy of training given to staff and a statement of the actions that took place to resolve the errors that occurred. POC due by 4/20/26.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 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: (4) The licensee shall assist residents with self-administered medications as needed. This regulation has not been met as evidenced by: Facility staff failed to ensure R2’s medication dosage was correctly documented resulting in R2 being administered the wrong dosage for 3 months which posses a potential health risk to residents in care.

Official plan of correction

The facility shall submit a plan that addresses charting and documenting medication changes timely. Staff shall be trained on the implemented plan. Plan of correction shall be submitted by 01/31/2025.

Deadline recorded: Jan 31, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 9 out of 38 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/19/2024 Plan of Correction Administrator agrees all 9 staff members will receive CPR and first aid certificates. Updated certificates to be sent into LPA by 1/19/24.

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 was not met based on records of the incident of R1 AWOL from the facility memory care unit on 09/11/23. This posed a potential risk to the resident.

Official plan of correction

Administrator provided training on 9/12/23 to care staff in the memory care unit. LPA was provided the training that was completed. POC cleared and letter of clearance provided.

Deadline recorded: Nov 3, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466-Observation of the Resident- licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs……. This requirement is not as evidence by…. Based on record review and interviews, it has been concluded that facility did not reassess R1 for unmet needs despite multiple falls incidents in May and June 2022 which poses immediate health and safety risks for residents in care.

Official plan of correction

Licensee will make sure that Observation of for any resident per their health care needs/changes will be done in timely manner so residents care needs can be met per RCFE regulation 87466. Licensee shall submit letter of understanding of this regulation to CCL by POC date-02/03/23.

Deadline recorded: Feb 3, 2023. 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

87463-Reappraisals-(a) The pre-admission appraisal shall be updated, in writing ....(3) (3) Any illness, injury, trauma, or change in the health care needs of the resident ....This requirement is not as evidence by…... Based on record review and interviews, it has been concluded that facility did not document a reappraisal for R1 once it was identified R1 was declining and sustained multiple falls within a 2 months period (May and June 2022) which poses immediate health and safety risks for residents in care.

Official plan of correction

Licensee will make sure that re-appraisal will obtain for any resident per their health care needs/changes in timely manner so residents care needs can be met per RCFE regulation 87466. Licensee shall submit letter of understanding of this regulation to CCL by POC date-02/03/23.

Deadline recorded: Feb 3, 2023. 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

87464-Basic Services-(f)Basic services shall at a minimum include:(1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not as evidence by…. Based on record review and interviews, it has been concluded that facility did not provide proper care and supervision for R1 which resulted R1s fall and death on 06/06/22 which poses immediate health and safety risks for residents in care.

Official plan of correction

Licensee will make sure to provide care and supervision to residents so residents care needs can be met per RCFE regulation 87464. Licensee shall submit letter of understanding of this regulation to CCL by POC date-02/03/23.

Deadline recorded: Feb 3, 2023. A deadline is not proof that correction was completed.