OAKMONT OF BROOKSIDE

Official classification

Type A

Official code

87465(d)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met:(1)Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication. This requirement was not met as evidenced by records reviewed and interviews with staff. The facility is not following the Doctor's orders as requested in the current and outdated PRN letters for R1 through R7

Official plan of correction

Facility Administrator will review the section, 87465(d)(1). A statement of correction, along with proof of staff training for no less than (1) hour in duration, for the cited section will be completed and submitted to the LPA’s email by the due date of 8/21/2025 COB at 5:00pm. Information submitted must include. Attendees, trainers, and information discussed.

Deadline recorded: Aug 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety This requirement is not met as evidenced by: Deficient Practice Statement Based on observation; the facility did not comply with the regulations adopted by the State Fire Marshal. The " Fixed System " or " Ansul System " in the kitchen is scheduled for a semi-annual maintenance and was last serviced on 9/27/2023. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/20/2024 Plan of Correction Licensee/Administrator will ensure that the fire equipment listed is inspected or a plan is made and sent to CCL by the POC date indicated. Licensee/Administrator shall send picture of the new tags. As proof and submit Statement of Compliance by POC date.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 (f)(1) Basic services care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based on the department's findings, the facility did not provide adequate care and supervision including a two person assist which resulted in R1 sustaining a fracture from a fall while transferring. This posed an immediate health and safety risk to R1.

Official plan of correction

Licensee agrees to submit a plan of correction to LPA by 5/15/2024 on how the facility will be in compliance with regulation 87464(f)(1) at all times. Civil penalty assessed

Deadline recorded: May 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705(c)(5)Care of Persons with Dementia Licensees who accept and retain residents with dementia shall ensure that each resident with dementia has an annual medical assessment and a reappraisal done at least annually This requirement was not met based on records reviewed, The department observed R3 with an outdated LIC 602/ Physician report expired. This poses a potential health and safety risk to residents in care.

Official plan of correction

All residents diagnosed with dementia will be scheduled with their responsible physician and be assessed for any changes to their needs with an updated LIC 602. Statement of correction, with copy of updated LIC 602, to be completed and submitted into CCL by the due date

Deadline recorded: May 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(a-d)

Regulation authority

CCR

What the official deficiency says

87405(a-d) All Facilities shall have a qualified and currently certified administrator.... This requirement was not met as evidenced by records reviewed and interviews with staff. This is an immediate risk to operations and care of residents.

Official plan of correction

Licensee will submit to LPA an updated LIC500, LIC200 and other documents required with an employee who has a current administrator certificate and who will act in the administrator capacity until Licensee finds and updates the Administrator positions. Licensee will send to LPA by end of day on 1/17/2024

Deadline recorded: Jan 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or... Based on observation, the Licensee did not ensure all staff were associated to the facility. The LPA observed that S1 was not associated to the facility. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The Licensee will request a criminal record transfer for S1. The Licensee will review the staff roster and ensure all working staff are associated to the facility. Proof of S1 being associated to the facility due by the POC due date of 1/17/2024.

Deadline recorded: Jan 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(9)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply:..... (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidenced by: LPA, Administrator and kitchen staff observed expired food in the main kitchen area, uncovered food, missing temperature checks for foods served, and no labels on prepared food

Official plan of correction

Facility agrees to a deep cleaning of kitchen and food storage area. The facility manager indicated that a kitchen staff membesr recently ended their employment and new kitchen staff are on board. Facility agrees that kitchen staff will be trained and monitored on proper sanitation practices as well as food storage and service. The facility will provide the department with an in- service agenda with those that attend by the POC date of 7/24/2023

Deadline recorded: Jul 24, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)(c)

Regulation authority

CCR

What the official deficiency says

Basic Services (c) " Care and supervision " means the facility assumes responsibility for, or provides... assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes ...personal care and supervision. This requirement was not met as evidenced by R1's Companion was not around or failed to report that they were leaving the facility. As a result, R1 was unaccounted for and was in the community without supervision. This poses an immediate health and safety risk and hazard.

Official plan of correction

Licensee will provide a schedule to ensure staffing for residents in care, have all paid assistants finger print cleared and associated to the facility. Facility Administrator will ensure ongoing compliance by increased observations for R1 and if needed staffing to meet R1's needs. Written plan due to CCL by 6/1/22.

Deadline recorded: Jun 1, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

87458(b)(1) Medical Assessment. The medical assessment, at a minimum, shall include: A physical exam of the resident containing a primary and secondary diagnosis, if any, results of a test for tuberculosis and any medical conditions which would preclude care of the person in an RCFE. R1 does not have a current TB test. This poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator shall obtain a TB clearance for R1 and send proof to Licensing prior to R1 returning to the facility.

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