LA SERENA HOUSE

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 (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed and statement, the facility did not ensure that resident R1 was receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding regulation 87465 as well as the procedure for intake, recording and auditing medication records. Facility will submit statement to the Department by POC due date of 6/26/25.

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

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure to obtain a medical assessent made within the last year prior to admission for resident (R1), which poses a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Facility will write a statement of understanding regarding regulation 87458 and submit statement to LPA by POC due date of 4/30/2025.

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

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation of one caregiver not wearing mask, the licensee did not comply with the section cited above in which poses/posed 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 Staff will wear face covering/mask when working in the facility. Licensee will submit a statement of compliance to CCLD.