OAKS AT NIPOMO, THE

Official classification

Type A

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...care shall be developed by each facility. The plan shall encourage routine medical... 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 requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as Resident #1 (R1) received dosses of a medication ordered as 1 time weekly, but was given daily and Resident #2 (R2) was administered Resident 3’s (R3)’s medications for 6 plus days. This posed an immediate health and safety risk to people in care.

Official plan of correction

Administrator, Residential Service and Memory Care Directors have addressed the issues with R1, write ups done following the discovery and training was completed. Pro-actively processes including obtaining refill approvals earlier have been started and a call with the pharmacy regarding the issue for R2's delay in medication is being disussed on 8/13/26 and a summary of the plan moving forward will be provided to the LPA by the moring of 8/14/26.

Deadline recorded: Aug 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above when Resident 4 (R4) and Resident 5 (R5) had PRN medications that were missing, presumed to be given, but the doses were not recorded which poses an immediate health, safety risk to persons in care.

Official plan of correction

POC Due Date: 07/13/2026 Plan of Correction Memory Care Directors (MCD) will review all PRN mediations and ensure count matches Medication Administration Records and that all doses are accounted for. The MCD will provide a written statement acknowledging audit of PRN medications and provide the steps to be taken to prevent recurrence, including retraining of staff responsible for medication handling.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above when 9 packages of expired food items were discovered and 4 unsealed packages were found which poses a potential health and safety risk violation to residents in care.

Official plan of correction

POC Due Date: 07/31/2026 Plan of Correction Items were removed from storage. An audit and review of the full storage area will be done, facility will provide to the LPA the Inventory and Rotation procedures to manage ongoing review of food storage area.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above when kitchen area was found with debris, food particles, dirt, cooked food containing insects was found during annual inspection which poses a health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2026 Plan of Correction Facility has a deep cleaning planned the week of 7/13/26, LPA will return to view kitchen area following the week of 7/17/26.

Official classification

Type A

Official code

87465(i)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record…or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on medication observation, record review and interview, the licensee failed to ensure that they removed 1 former and 4 current resident expired medications. Eight (8) total medications, 2 of which had discontinued orders were found during review of entire assisted living medication room and medication cart which posed an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/10/2026 Plan of Correction Resident Services Directors (RSD) and the designee agree to destroy all eight medications in accordance with CCR 87465(i) and update each resident’s medication destruction record. The RSD will submit the updated records and a written statement acknowledging completion of the destruction process and outlining steps taken to prevent recurrence, including retraining of staff responsible for medication handling.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights 87468.1(a)(2) (a)Residents in all residential care facilities for the elderly shall have all the following personal rights: (2)To be accorded safe, healthful, comfortable accommadations, furnishings, and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on W1 observation the licensee did not comply with the section cited above in S1 was transporting resident in facility van with mask down below S1's chin which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2022 Plan of Correction Administrator agreed to re-train all staff on infection control and mask wearing, provide training docuemnts with staff signatures to CCL.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence...This requirement was not met as evidenced by: Based on documentation and obeservation the Licensee did not comply with regualtion as the facility did not report a reisdent incident on 08/31/2021 which poses a potential safety risk to reisdent in care.

Official plan of correction

Administrator agreed to submit incident report to CCL for the 08/31/21 incident and will train reporting staff on regulation 87211, submit report, trianing and staff signatures to CCL.

Deadline recorded: Sep 20, 2021. A deadline is not proof that correction was completed.