MANTECA RTRMT COM-HAPPY LVNG BY COGIR/COGIR MANTEC

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation 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 facility was found to be deficient as evidenced by the observation of (3) out of (4) doors leading out of this facility were not functioning properly when their press pads were activated. The doors did not automatically open when the press pads were activated posing a potential threat to the Health, Safety, and Personal Rights of all residents in care.

Official plan of correction

The facility designated Administrator stated that all four doors will be reviewed and any found to not be functioning will be repaired/replaced as necessary to ensure proper access to/from the interior and exterior for all residents at all times. A statement of correction, along with receipts of all updated work performed for the doors, will be completed and submitted into CCL by the due date.

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

Official classification

Type B

Official code

87555(b)(33)

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements Tableware and tables, dishes, and utensils shall be sufficient in quantity to serve the residents. This facility was found to be deficient as evidenced by the use of paper products for dishes and utensils in the memory care unit which posed a potential threat to the Health, Safety, and Personal Rights of all residents in care.

Official plan of correction

The facility designated Administrator stated that the dishes, utensils, and kitchen supplies for the memory care unit will be reviewed to make sure that they are plentiful and able to meet the needs of the facility residents at all times. A statement of correction, along with copies of all updated supplies ordered for the memory care unit, will be completed and submitted into CCL by the due date.

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

Official classification

Type B

Official code

1569.313

Regulation authority

HSC

What the official deficiency says

The facility’s policy concerning family visits and communication shall be designed to encourage regular family involvement with the resident client and shall provide ample opportunities for family participation in activities at the facility. This facility was found to be deficient as evidenced by multiple phone calls and voicemails not being returned in a timely manner which posed a potential threat to the Health, Safety, and Personal Rights of all residents in care.

Official plan of correction

The facility designated Administrator stated that the communication policy for the memory care unit will be addressed to better deal with communication coming into this unit. A statement of correction, along with updated communication plans for the memory care unit, will be completed and submitted into CCL by the due date.

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

Official classification

Type A

Official code

87555(b)(9)

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This facility was found to be deficient as evidenced by the presence of food items being stored on the floors of the facility refrigerator and freezer floors which posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Official plan of correction

The facility designated Administrator stated that all food items will always be stored in a proper manner at all times. A statement of correction, along with updated photos of the facility refrigerator/freezer floors will be captured, completed and submitted into CCL by the due date.

Deadline recorded: Dec 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This facility was found to be deficient as evidenced by the presence of holes around the sink areas in the kitchen area posing a immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Official plan of correction

The facility designated Administrator stated that all holes in the kitchen area will be repaired/replaced to remove them all in order to prevent access to potential pests and vermin from entering into this facility. A statement of correction, along with receipts of contracted work, will be completed and submitted into CCL by the due date.

Deadline recorded: Dec 29, 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 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 a portion of the facility perimeter fence had fallen down and was in need of repair/replacement. Also it was observed that unused furniture items and discarded shower chair and bathroom chair were left out which needed to be removed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction The facility designated Administrator stated that the facility perimeter fence will be repaired/replaced. In addition, all unused items such as old furniture and resident furnishings will be removed from the premises. A statement of correction, along with photos of the repaired fence and cleared back area of this facility, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 Custodian closet, housing cleaning supplies and chemicals, along with (2) other laundry rooms with posted signs to be locked at all times were unlocked and made accessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction The facility designated representative stated that all staff will be in-serviced, for no less than (1) hour in duration, on the topic for proper storage and maintenance of all cleaning supplies and chemicals. A statement of correction, along with proof of completed training for all facility staff, will be completed and submitted into CCL by the due date.

Official classification

Type A

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 [6] out of [6] facility personnel files did not contain updated First Aid training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction The facility representative stated that all facility personnel files will reviewed and any staff missing required First Aid training, and expired First Aid training, will be scheduled to receive and complete updated First Aid training. A statement of correction, along with copies of all facility staff updated First Aid training certifications, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87705(c)(5)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. 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 [2] out of [6] facility resident files did not have updated annual medical assessments to address any possible changes with a dementia diagnosis which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction The facility representative stated that a review of all resident files diagnosed with dementia will be conducted. Any, and all, resident files which require an updated annual medical assessment will be scheduled with their responsible licensed medical professional to undergo, and receive, an updated annual medical assessment. A statement of correction, along with copies of all updated medical assessments, 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

(c) 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 several window screens were observed to missing and others were observed to contain holes, tears, or rips in them which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/06/2024 Plan of Correction The facility representative stated that a review of the exterior window screens will be conducted. Any, and all, window screens which are missing or contain holes, rips, or tears within them will be repaired/replaced. A statement of correction, along with copies of the receipt for services rendered for the window screen repair/replacements, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 [5] out of [6] facility personnel files were missing updated annual training hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/06/2024 Plan of Correction The facility representative stated that a review of all facility personnel files will be conducted. Any, and all, facility personnel missing required annual training and training hours will be in-serviced to meet the required training topics and training hours requirements. A statement of correction, along with copies of all completed and updated training topics with corresponding training hours, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87307(a)(3)(D)

Regulation authority

CCR

What the official deficiency says

Living accommodations and grounds shall be related to the facility's function. Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident Hygiene items of general use such as soap and toilet paper. This facility was found to deficient as evidenced by not having the required supplies of toiletries for use by the residents at all times. This posed an immediate threat to the Health, Safety and Personal Rights of the residents in care.

Official plan of correction

The facility designated Administrator stated that hygiene products and toiletries for the residents will be sufficient and made available for use to the residents at all times. A statement of correction, along with copies of the facility toiletries and hygiene products orders list for the next (3) months, will be completed and submitted into CCL by the due date. A copy of the orders list will be submitted by the end of each month.

Deadline recorded: Sep 14, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

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 facility was found to be deficient as evidenced by not having the required supplies of cleaning supplies and products made available for use by the facility staff at all times. This posed an immediate threat to the Health, Safety and Personal Rights of the residents in care.

Official plan of correction

The facility designated Administrator stated that the facility cleaning supplies will be sufficient and made available for use by the facility staff at all times. A statement of correction, along with copies of the facility cleaning supplies and products orders list for the next (3) months, will be completed and submitted into CCL by the due date. A copy of the orders list will be submitted by the end of each month.

Deadline recorded: Sep 14, 2023. 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

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation by this LPA, the licensee did not comply with the section cited above in that the facility perimeter fence was falling down in sections and was in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2023 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the fallen fence sections of the perimeter will be replaced/repaired as needed. A statement of correction, along with a copy of the work order and photos of the updated fence, 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

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation by this LPA, the licensee did not comply with the section cited above since windows screens were torn, had holes, or were in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2023 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the window screens will be replaced/repaired as needed. A statement of correction, along with a copy of the work order, will be completed and submitted into CCL by the due date.

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 by this LPA, the licensee did not comply with the section cited above in that the facility perimeter fence was falling down in sections and was in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/11/2022 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the fallen fence sections of the perimeter will be replaced/repaired as needed. A statement of correction, along with a copy of the work order and photos of the updated fence, 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

(c) 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 by this LPA, the licensee did not comply with the section cited above since windows screens were torn, had holes, or were in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/11/2022 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the window screens will be replaced/repaired as needed. A statement of correction, along with a copy of the work order, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements-General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Based on a review of the data compiled since the beginning of 2021 for response times from facility staff to resident alerts, there were alerts/events that were addressed in under one minute to other alerts/events that went over 30 minutes in duration before a staff member was able to address the needs of the residents and clear the event. This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Official plan of correction

Facility representative stated that a refresher course will be offered, for no less than (1) hour in duration, on the topic of responding to resident call buttons requesting assistance, in a timely manner. The trainer, topic covered, and attendees will be documented and submitted into CCL by the due date.

Deadline recorded: Dec 24, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80065(f)(4)

Regulation authority

CCR

What the official deficiency says

(f) All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance. (4) Assistance with prescribed medications which are self-administered.This requirement was not met as evideniced by records reviewed residents records for controlled medication count has missing documentation this is a safety risk to residents in care.

Official plan of correction

Licensee shall ensure that all resident records are current and complete. Licensee shall provide an in-service for staff on medication documentation from an outside agency and submit copies of the trainer with a complete training list of individuals to Licensing by POC date,12/01/2021

Deadline recorded: Dec 1, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80088(e)(1)

Regulation authority

CCR

What the official deficiency says

Fixtures, Furniture Equipment and Supplies. Faucets used by clients shall deliver hot water, and attain temperatures of not less than 105 degrees F and not more than 120 degrees F. LPA tested hot water at 125.5 degrees F. This poses an immediate health and safety risk to resident in care.

Official plan of correction

The facility will test the hot water for 3 days. Test hot water for three days to meet Title 22 regulations. Send 3 days of hot water temperatures to LPA via email

Deadline recorded: Nov 16, 2021. A deadline is not proof that correction was completed.