RIVER FOUNTAINS OF LODI

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 requirement is not met as evidenced by: Deficient Practice Statement Based on observation], the licensee did not comply with the section cited above in that the carpet in the hallways and resident rooms were in need of deep cleaning to remove visible stains and possible odors which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/20/2025 Plan of Correction The facility designated Administrator stated that the carpet for the hallways and resident bedrooms will be reviewed and deep cleaned as necessary to remove all stains and possible odors from them. A statement of correction, along with copies of receipt for contracted work conducted, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

All window screens shall be clean and maintained in good repair. 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 that there were several window screens, and sliding glass door screens, that contained rips, tears, or holes in them which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/20/2025 Plan of Correction The facility designated Administrator stated that an audit of all exterior window screens and sliding glass door screens will be conducted and any found to contain any holes, rips, or tears in them will be repaired/replaced as necessary. A statement of correction, along with copies of receipt for contracted services for these repairs, will be completed and submitted into CCL by the due date.

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 plan for incidental medical and dental care shall be developed by each facility...The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on file review and interviews, the Licensee did not ensure R1 was assisted with administering Insulin as prescribed by their physician. This posed a potential health and safety risk to R1.

Official plan of correction

Facility has completed an Incidental Medical and Dental trainings for all Med-Techs on 05/17/2024 and 05/23/2024. POC Cleared at visit.

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

Official classification

Type A

Official code

1569

Regulation authority

HSC

What the official deficiency says

Conduct Inimical: Conduct which is inimical to the health, morals, welfare, or safety of either an individual in, or receiving services from, the facility or the people of the State of California. This requirement was not met as evidenced by: Facility did not follow the Department's guidance of conducting surveillance testing of unvaccinated staff once per week per Provider Information Notice (PIN) 21.32 and later PIN 21.32.1 This poses an immediate health and safety risks to clients in care.

Official plan of correction

Plan of Correction: The Facility Administrator will review the PINs that provides instructions for staff testing. Facility will submit a statement to the Department by 8/31/21 that the PINs have been reviewed, understood and are being followed

Deadline recorded: Aug 31, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

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:(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision 87211(a)(2) Occurrences, such as epidemic outbreaks, This requirement was not met as evidenced by: A resident of the facility was hospitalized and determined to have an infectious disease on 7/26/21. The facility failed to submit an incident as required to the department. This poses a potential Health and Safety risk to clients in care.

Official plan of correction

Plan of Correction: The Facility Administrator will review the corresponding regulation on reporting requirements. Facility will submit a statement to the Department by the POC due date that this regulation has been reviewed, understood and is being followed

Deadline recorded: Aug 31, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.(2) Knowledge of and ability to conform to the applicable laws, rules and regulations. this requirement was not met as evidenced by: Facility Administrator did not follow the reporting requirements or the staff testing requirements of PIN # .21.32 and 21.32.1. The Facility Administrator is responsible for knowledge of CCR regulations and compliance of the regulations. This poses a potential Health and Safety risk to clients in care.

Official plan of correction

Plan of Correction: The Facility Administrator will review this regulation and the corresponding PINs that provides instructions for staff testing. Facility will submit a statement to the Department by 8/31/21 that both this regulation the PINs have been reviewed, understood and are being followed.

Deadline recorded: Aug 31, 2021. A deadline is not proof that correction was completed.